=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457982845
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | IRHONDA HOLLAWAY NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2020
-----------------------------------------------------
Last Update Date | 08/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7102 TARRINGTON AVE STE 602
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77479-7275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-240-0311
-----------------------------------------------------
Fax | 281-240-0313
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11980 KIRBY DR STE 102
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77045-4860
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-848-0958
-----------------------------------------------------
Fax | 713-433-3709
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2100X
-----------------------------------------------------
Taxonomy Name | Acute Care Nurse Practitioner
-----------------------------------------------------
License Number | AP143587
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | AP143587
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------