Healthcare Provider Details

I. General information

NPI: 1972946150
Provider Name (Legal Business Name): ANNE HOLLAND MARDY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNE HOLLAND MD

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 38TH ST STE 205
AUSTIN TX
78705-1011
US

IV. Provider business mailing address

1301 W 38TH ST STE 705
AUSTIN TX
78705-1016
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-7036
  • Fax: 512-324-7555
Mailing address:
  • Phone: 512-324-7036
  • Fax: 512-324-7555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberS9741
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberS9741
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberS9741
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: