MEDICARE: MRS. ANN HOLLAND

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	172A00000X	Driver		TX
2	373H00000X	Day Training/Habilitation Specialist		TX

General Provider Information

NPI Number	:	1851715361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANN HOLLAND

Provider Business Mailing Address
First Line	:	6319 LYNKAT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1817
Country	:	US
Telephone Number	:	281-570-8295
Fax Number	:

Provider Business Practice Location Address
First Line	:	6319 LYNKAT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1817
Country	:	US
Telephone Number	:	281-570-8295
Fax Number	:

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

Provider Enumeration Date	:	02/05/2014
Last Update Date	:	02/05/2014

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Directions to “ MRS. ANN HOLLAND ” Practice Location

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