Thomas R. Holmes, Dba Dementia

Specialty details in registry · Tyler, TX

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At a glance

2358 Mirabeau Dr, Tyler, TX 75703-5867

NPPES record updated Jun 25, 2012. Public records can lag behind changes at a practice.

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Practice location

2358 Mirabeau Dr
Tyler, TX 75703-5867
Professional details: NPI, taxonomy & registry record
NPI1760622062
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
225XG0600X
Enumeration date
Feb 25, 2009
Record updated
Jun 25, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

225XG0600X · Primary

License reported: 109348 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2358 Mirabeau Dr
Tyler, TX 75703-5867
Phone
(903) 561-9676
Mailing address
2358 MIRABEAU DR

TYLER, TX 757035867
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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