Provider Demographics
NPI:1023114667
Name:HOLCOMB, MAUREEN JANE (RN, CNS)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:JANE
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8645 ABE LINCOLN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2806
Mailing Address - Country:US
Mailing Address - Phone:210-365-4130
Mailing Address - Fax:210-617-5179
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-617-5179
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX562947364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care