| Chanda Holmes Pllc | |
|
3509 Treeline Acres Selma TX 78154-1964 | |
| (916) 206-1772 | |
| Not Available |
| Full Name | Chanda Holmes Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3509 Treeline Acres, Selma, Texas |
| Authorized Official Name and Position | Chanda Quinn Holmes (OWNER) |
| Authorized Official Contact | 9162061772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda Holmes Pllc 3509 Treeline Acres Selma TX 78154-1964 Ph: (916) 206-1772 | Chanda Holmes Pllc 3509 Treeline Acres Selma TX 78154-1964 Ph: (916) 206-1772 |
| NPI Number | 1134981152 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 6800235888 |
|---|---|
| Medicare Enrollment ID | O20240424000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134981152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Chanda Quinn Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811228356 PECOS PAC ID: 7618316696 Enrollment ID: I20240424000782 |
Anchor Of Hope Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 343 Rustic Willow, Selma, TX 78154 Phone: 210-452-3476 |