Healthcare Provider Details

I. General information

NPI: 1114836020
Provider Name (Legal Business Name): HOLLAND PHYSICIAN GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19143 W LAKE HOUSTON PKWY
HUMBLE TX
77346-4800
US

IV. Provider business mailing address

19143 W LAKE HOUSTON PKWY
HUMBLE TX
77346-4800
US

V. Phone/Fax

Practice location:
  • Phone: 281-713-5742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JASMINE PORTERIE
Title or Position: BILLING MANAGER
Credential:
Phone: 713-955-2665