Tyra R Holland is a Private Vehicle based in Beaumont, TX. Tyra R Holland practices in Beaumont, TX. The NPI Number for Tyra R Holland is 1225759798 and holds a License No. 347C00000X (Texas).
The current practice location address for Tyra R Holland is 3339 West Ave, Beaumont, TX and can be reached out via phone at 281-678-2006.
Location: 3339 West Ave, Beaumont, TX, 77703-3927
Provider Profile Details
NPI Number
1225759798
Provider Name
Tyra R Holland
Credential
Provider Entity Type
Individual
Gender
Female
Address
3339 West Ave, Beaumont, TX, 77703-3927
Phone Number
281-678-2006
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 747156 | 05 | TX |
Provider Business Practice Location Address Details
Address
3339 West Ave
City
State
Zip
77703-3927
Phone Number
281-678-2006
Fax Number
Provider Business Mailing Address Details
Address
3339 West Ave
City
State
Zip
77703-3927
Phone Number
281-678-2006
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
347C00000X (Texas)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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