Provider Demographics
NPI:1497716401
Name:HOLOYE, PAUL Y (M D)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:Y
Last Name:HOLOYE
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720878
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0878
Mailing Address - Country:US
Mailing Address - Phone:956-217-7000
Mailing Address - Fax:566-821-6689
Practice Address - Street 1:5401 N G ST STE 3
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-217-7000
Practice Address - Fax:956-682-1668
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9170207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139055103Medicaid
25206OtherAMERIGROUP
2317059OtherBLUE LINK #
900002644OtherRAILROAD MEDICARE
10014446OtherAMERICAID
TX139055107Medicaid
4138683OtherAETNA
TX85273NOtherBLUECHOICE SOLUTION NETWK
2317059OtherBLUE LINK #
TX85273NMedicare PIN
TX85283NMedicare PIN
900002644OtherRAILROAD MEDICARE