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NPI Code Detail

MEDICARE: DR. HOLLY BROWNE MOLLGAARD DPM

MEDICARE: DR. HOLLY BROWNE MOLLGAARD DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist1808TX

General Provider Information

NPI Number : 1316167133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLLY BROWNE MOLLGAARD DPM
Provider Business Mailing Address
First Line : 15010 STONETOWER DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78248-2705
Country : US
Telephone Number : 210-385-6959
Fax Number : 830-620-6888
Provider Business Practice Location Address
First Line : 1004 MISSION DR
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-6129
Country : US
Telephone Number : 830-625-8200
Fax Number : 830-620-6888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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