MR. RASHAD C. HOLLEY NPI 1053684985

NPI Information

NPI: 1053684985
Provider Name: MR. RASHAD C. HOLLEY
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
697 LOUISIANA RD
DYESS AFB, TX
ZIP 79607
Phone: (325) 696-6600
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MR. Rashad C. Holley is a medical physician assistant in Dyess Afb, TX. MR. Rashad C. Holley NPI is 1053684985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

697 LOUISIANA RD
DYESS AFB, TX
ZIP 79607-141
Phone: (325) 696-6600

The enumeration date for this NPI number is 2/23/2012 and was last updated on 8/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1710I1003X	Military Health Care Provider	Independent Duty Medical Technicians			No
2	363A00000X	Physician Assistant				No
3	363AM0700X	Physician Assistant	Medical	PAC1009	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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