MEDICARE: DR. HOLLY LEIGH SINGLETARY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	N9170	TX

General Provider Information

NPI Number	:	1225203433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOLLY LEIGH SINGLETARY M.D.

Provider Business Mailing Address
First Line	:	7415 SOUTHWEST PKWY STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8998
Country	:	US
Telephone Number	:	512-617-3376
Fax Number	:	512-399-6522

Provider Business Practice Location Address
First Line	:	7415 SOUTHWEST PKWY STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8998
Country	:	US
Telephone Number	:	512-617-3376
Fax Number	:	512-399-6522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	01/20/2020

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