Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEORRIC LAMONT HOLIDAY
Active Sole ProprietorMR. KEORRIC LAMONT HOLIDAY is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in ARLINGTON, Texas. NPI 1568608420 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · ARLINGTON, TX
Registration Details
- NPI Number
- 1568608420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2008 (17.667328214832 yrs)
- Last Updated
- Dec 26, 2008
- License
-
14557506 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3705 FORT HUNT DRIVEARLINGTON, TX, 76016Browse TX providers · Browse ZIP 76016
- Phone
- 8179197013
- Fax
- 6825874118
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.