Provider Demographics
NPI:1083692248
Name:HOLLEMAN, JAMES FINAS III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FINAS
Last Name:HOLLEMAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-5021
Mailing Address - Country:US
Mailing Address - Phone:903-526-2323
Mailing Address - Fax:903-526-2484
Practice Address - Street 1:2708 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-5021
Practice Address - Country:US
Practice Address - Phone:903-526-2323
Practice Address - Fax:903-526-2484
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3241207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00333MOtherBLUE CROSS BLUE SHIELD
TXP00060421OtherRAILROAD MEDICARE
TX140814802Medicaid
TX8B5922Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
TXP00060421OtherRAILROAD MEDICARE