Provider Demographics
NPI:1760441182
Name:HOLGUIN, FRANCISCO DAVID (PT)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:DAVID
Last Name:HOLGUIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:DAVID
Other - Last Name:HOLGUIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1102 E HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005
Mailing Address - Country:US
Mailing Address - Phone:505-541-5015
Mailing Address - Fax:
Practice Address - Street 1:141 ROADRUNNER PKWY
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011
Practice Address - Country:US
Practice Address - Phone:505-532-8210
Practice Address - Fax:505-532-8709
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2575225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist