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NPI Code Detail

MEDICARE: MARSHA HOLLEMAN MD, MPH

MEDICARE: MARSHA HOLLEMAN MD, MPH
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
1207Q00000XFamily Medicine PhysicianG3474TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467532721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA HOLLEMAN MD, MPH
Provider Business Mailing Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-674-3326
Fax Number : 713-674-3332
Provider Business Practice Location Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-674-3326
Fax Number : 713-674-3332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 10/29/2015

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