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CCN: 748045 NPI: 1134705254 Organization

Holistat LLC

3610 W PIONEER PKWY STE 101
PANTEGO, TX 760134502

Contact Information

  • Phone 6822007472
  • Enumeration Date 2021-03-19
  • Last Updated 2023-02-01

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 23104
providerType 36
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 36
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 36
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 23104
providerType 36
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 36
specialPaymentIndicator
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 36
specialPaymentIndicator
carrierCode 04412
localityCode 28

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