Provider Demographics
NPI:1639348246
Name:HOLMES, WILLIAM DEWAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DEWAYNE
Last Name:HOLMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12515 RESEARCH BLVD
Mailing Address - Street 2:BLDG 8, SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-2228
Mailing Address - Country:US
Mailing Address - Phone:210-241-2691
Mailing Address - Fax:
Practice Address - Street 1:12515 RESEARCH BLVD
Practice Address - Street 2:BLDG 8, SUITE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2228
Practice Address - Country:US
Practice Address - Phone:210-241-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH44182084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry