MEDICARE: SHANIKIA HOLLOWAY

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1891152187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANIKIA HOLLOWAY

Provider Business Mailing Address
First Line	:	401 FAIRBROOK LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76140-6568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 FAIRBROOK LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76140-6568
Country	:	US
Telephone Number	:	817-323-7255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2016
Last Update Date	:	01/18/2016

Similar Medicare Providers

1275492944 — MARICSA BROWN
Practice Location Address:

24121 S 367 RD
FORT GIBSON, OK
74434-6568

Practice Phone: 405-332-8472
Practice Fax:

1568630408 — LAURA HANKE ARNP LTD CO
Practice Location Address:

3805 PROMENADE WAY
FORT PIERCE, FL
34982-6568

Practice Phone: 772-794-1291
Practice Fax: 772-794-4435

1760925168 — WHITE GLOVE TRANSPORTATION LLC
Practice Location Address:

7405 ANTEBELLUM DR
FORT WAYNE, IN
46815-6568

Practice Phone: 260-493-1181
Practice Fax: 219-627-9217

1790786945 — EVEREST SERVICES, INC
Practice Location Address:

2812 SE LOOP 820 , BLDG # 5A
FORT WORTH, TX
76140-1012

Practice Phone: 817-568-2285
Practice Fax: 817-568-2252

1043212848 — TRINITY PHARMACY SERVICES, INC.
Practice Location Address:

2804 SE LOOP 820 , BUILDING 5
FORT WORTH, TX
76140-1012

Practice Phone: 817-568-2777
Practice Fax: 817-568-2745

1265434062 — TRINITY INFUSION SERVICES, INC.
Practice Location Address:

2804 SE LOOP 820 , BUILDING 5
FORT WORTH, TX
76140-1012

Practice Phone: 817-568-2777
Practice Fax: 817-568-2745

Directions to “ SHANIKIA HOLLOWAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.