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NPI Code Detail

MEDICARE: RACHEL MARIE HOLLAND PA-C

MEDICARE: RACHEL MARIE HOLLAND PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA06588TX
2363AS0400XSurgical Physician AssistantPA06588TX

General Provider Information

NPI Number : 1013249077
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MARIE HOLLAND PA-C
Provider Business Mailing Address
First Line : 4700 SETON CENTER PKWY STE 115
Second Line :
City : AUSTIN
State : TX
Zip : 78759-5753
Country : US
Telephone Number : 134-644-0064
Fax Number : 817-579-3909
Provider Business Practice Location Address
First Line : 5900 ALTAMESA BLVD STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-5475
Country : US
Telephone Number : 817-854-9969
Fax Number : 817-845-9965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2010
Last Update Date : 03/28/2023

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Directions to “ RACHEL MARIE HOLLAND PA-C” Practice Location

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