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Christina Grey Holbrooks

Family Medicine

Allopathic & Osteopathic Physicians

1500 S Main St, Fort Worth, TX 76104-4917

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTINA HOLBROOKS.

Based on the most recent information from CMS, provider Christina Grey Holbrooks is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1013546183
Provider Type
Individual
Full Name
Holbrooks, Christina Grey
Gender
Female

Sole Proprietor
No
Enumeration Date
4/2/2020
Last Updated
1/25/2024

Contact Information

Practice Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Mailing Location

1500 S Main St, Fort Worth, TX 76104-4917

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License U6972 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Christina Grey Holbrooks

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Laorden, Jessica Lyn

Akinmerese, Olawale Opeyemi

Rogers, Amber Rachelle

Wix, Kurtt R

Beddingfield, Coleman Richard

Koch, Mark

Smelter, Laura E.

Walker, Thomas Lawrence

Garcia, Jose Luis

Cahill, Timothy