Provider Demographics
NPI:1114464286
Name:HOLUB EYECARE PPLC
Entity Type:Organization
Organization Name:HOLUB EYECARE PPLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPEACIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-372-0550
Mailing Address - Street 1:515 E COURT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5750
Mailing Address - Country:US
Mailing Address - Phone:830-372-0550
Mailing Address - Fax:830-372-4372
Practice Address - Street 1:515 E COURT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5750
Practice Address - Country:US
Practice Address - Phone:830-372-0550
Practice Address - Fax:830-372-4372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6746 TG152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty