Provider Demographics
NPI:1205459815
Name:HOLMES, NELSON ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:NELSON
Middle Name:ANDREW
Last Name:HOLMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 SAN FELIPE ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-2951
Mailing Address - Country:US
Mailing Address - Phone:346-530-7608
Mailing Address - Fax:
Practice Address - Street 1:4295 SAN FELIPE ST STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-2951
Practice Address - Country:US
Practice Address - Phone:346-530-7608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100707892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry