Provider Demographics
NPI:1922992056
Name:HOLMES, REKEITTA (CPT/PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:REKEITTA
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:CPT/PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15305 DALLAS PKWY FL 12
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4637
Mailing Address - Country:US
Mailing Address - Phone:855-522-3467
Mailing Address - Fax:
Practice Address - Street 1:15305 DALLAS PKWY FL 12
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4637
Practice Address - Country:US
Practice Address - Phone:855-522-3467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy