Provider Demographics
NPI:1306019476
Name:HOLDEN, WILLIAM NOEL
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NOEL
Last Name:HOLDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 HOUSTON ST E
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-2654
Mailing Address - Country:US
Mailing Address - Phone:903-885-8700
Mailing Address - Fax:903-885-8711
Practice Address - Street 1:150 HOUSTON ST E
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2654
Practice Address - Country:US
Practice Address - Phone:903-885-8700
Practice Address - Fax:903-885-8711
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies