Healthcare Provider Details

I. General information

NPI: 1467532721
Provider Name (Legal Business Name): MARSHA HOLLEMAN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 HAHLO ST
HOUSTON TX
77020-3022
US

IV. Provider business mailing address

424 HAHLO ST
HOUSTON TX
77020-3022
US

V. Phone/Fax

Practice location:
  • Phone: 713-674-3326
  • Fax: 713-674-3332
Mailing address:
  • Phone: 713-674-3326
  • Fax: 713-674-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG3474
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: