Individual
DR. MARK F. HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2287
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2287
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G5179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1343808-05
CSHCN
TX
05
—
1343808-06
—
TX
01
—
180040813
RR/MEDICARE
TX
01
—
85357F
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
06/30/2014
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