Brondwyn Holliway in Shreveport - Pediatrics
Brondwyn Holliway - NPI 1790818359
Brondwyn Holliway is a Pediatrics in Shreveport, Louisiana. Brondwyn Holliway practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Brondwyn Holliway is 1790818359. The last update date is 2007-07-08.
Brondwyn Holliway's current location address is 3824 Hearne Ave, Shreveport, Louisiana. You can contact this provider via phone number 3186358606 and fax number 3186351265. The mailing address for Brondwyn Holliway is 3824 Hearne Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brondwyn Holliway |
|---|---|
| Address | 3824 Hearne Ave, Shreveport, Louisiana |
| Phone Number | 3186358606 |
| Fax Number | 3186351265 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790818359 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3824 Hearne Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034328 |
| Phone Number | 3186358606 |
| Fax Number | 3186351265 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 21100 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1966207 | LA | -- | |
| 1449423 | LA | GROUP NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brondwyn Holliway?
The Brondwyn Holliway has been issued the NPI (National Provider Identifier) 1790818359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Brondwyn Holliway's physical address?
The Brondwyn Holliway is physically located at 3824 Hearne Ave, in the city of Shreveport, LA, with the postal code 711034328.
What is Brondwyn Holliway's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brondwyn Holliway is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Brondwyn Holliway receive its 1790818359 assignment from the Centers for Medicare & Medicaid Services?
The Brondwyn Holliway was assigned its 1790818359 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the Brondwyn Holliway's information last updated?
The Brondwyn Holliway's information was last updated on 2007-07-08.