Holliway Medical Clinic Llc in Shreveport - Pediatrics
Holliway Medical Clinic Llc - NPI 1891833869
Holliway Medical Clinic Llc is a Pediatrics in Shreveport, Louisiana. Holliway Medical Clinic Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Holliway Medical Clinic Llc is 1891833869. The last update date is 2020-08-22.
Holliway Medical Clinic Llc'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 Holliway Medical Clinic Llc is 3824 Hearne Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holliway Medical Clinic Llc |
|---|---|
| Address | 3824 Hearne Ave, Shreveport, Louisiana |
| Phone Number | 3186358606 |
| Fax Number | 3186351265 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Holliway Ann Brondwyn |
| Credentials | MD |
| Telephone Number | 3186358606 |
NPI Number Detail
| NPI Number | 1891833869 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3824 Hearne Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71103 |
| 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1966207 | LA | -- | |
| 1449423 | LA | GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Holliway Medical Clinic Llc by the Centers for Medicare & Medicaid Services?
The Holliway Medical Clinic Llc has been issued the NPI (National Provider Identifier) 1891833869, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Holliway Medical Clinic Llc?
The Holliway Medical Clinic Llc is physically situated at 3824 Hearne Ave, in the city of Shreveport, state of LA, with the postal code 71103.
What is the area of specialization for Holliway Medical Clinic Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Holliway Medical Clinic Llc is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Holliway Medical Clinic Llc receive the assignment of its 1891833869 from the Centers for Medicare & Medicaid Services?
The Holliway Medical Clinic Llc was issued its 1891833869 by the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the information related to Holliway Medical Clinic Llc most recently updated or refreshed?
The details pertaining to the Holliway Medical Clinic Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.