Healthcare Provider Details

I. General information

NPI: 1861373342
Provider Name (Legal Business Name): HOLLAND TAPP MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 8TH AVE STE 200
FORT WORTH TX
76104-2500
US

IV. Provider business mailing address

750 8TH AVE STE 200
FORT WORTH TX
76104-2500
US

V. Phone/Fax

Practice location:
  • Phone: 682-885-2170
  • Fax:
Mailing address:
  • Phone: 682-885-2170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number23590
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: