Todd Read Holman, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

F9577 Issued in TX

Practice address

1009 N 4TH St
Ste a
Longview, TX 75601-4768

Phone

(903) 757-3808

Fax

(903) 757-3893

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Texas Allergy & Asthma Associates

  • Specialist
  • Longview, TX
  • NPI 1871711267
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1982607776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847176",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847176",
            "telephone_number": "903-237-1800",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N 4TH ST",
            "address_2": "STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014768",
            "telephone_number": "903-757-3808",
            "fax_number": "903-757-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "TODD",
        "middle_name": "READ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "F9577",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "F9577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099799104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C17046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Allen Holladay, C.R.N.A.
• Richard Lee Holladay, C.R.N.A.
• Emily Hazel Holloway
• David Randall Holman, RPH
• Sonya Holman, RPH
• Lacy Holmes
• Sandra L Holton, RN,CDE
• Lori L Holyfield, PT
• Maegan Honeycutt
• Hong-I Shen, M.D., P.a.

• Allergy & Immunology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.