Healthcare Provider Details

I. General information

NPI: 1699989582
Provider Name (Legal Business Name): DANNY CARL HOLLAND DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 05/05/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W COLORADO BLVD PAVILION II STE 933
DALLAS TX
75208-2312
US

IV. Provider business mailing address

221 W COLORADO BLVD PAVILION II STE 933
DALLAS TX
75208-2312
US

V. Phone/Fax

Practice location:
  • Phone: 214-947-3684
  • Fax: 214-947-3686
Mailing address:
  • Phone: 214-947-3684
  • Fax: 214-947-3686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberN9376
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberN9376
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: