Provider Demographics
NPI:1760536627
Name:HOLMES, RONALD LEON JR (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:LEON
Last Name:HOLMES
Suffix:JR
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:1803 INDIAN CAMP TRL
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-3991
Mailing Address - Country:US
Mailing Address - Phone:254-247-7697
Mailing Address - Fax:
Practice Address - Street 1:CRDAMC DEM
Practice Address - Street 2:590 MEDICAL CENTER ROAD
Practice Address - City:FORT CAVAZOS
Practice Address - State:TX
Practice Address - Zip Code:76544-5060
Practice Address - Country:US
Practice Address - Phone:254-553-3757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2023-09-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant