Healthcare Provider Details

I. General information

NPI: 1528589645
Provider Name (Legal Business Name): BRENNA THOMAS HOLLOWAY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 HARRY HINES BLVD 7TH FLOOR, SUITE 106
DALLAS TX
75390
US

IV. Provider business mailing address

5303 HARRY HINES BLVD 7TH FLOOR, SUITE 106
DALLAS TX
75390
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-8300
  • Fax:
Mailing address:
  • Phone: 214-645-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80865
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: