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Individual

STANLEY TYLER HOLLMIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 TRINITY ST STE 704B, AUSTIN, TX 78712
(512) 324-7468
(512) 324-7469
Mailing address
1601 TRINITY ST STE 704B, AUSTIN, TX 78712-1765
(512) 324-7468
(125) 324-7469

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A113333
CA
207N00000X
Dermatology Physician
R2876
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
R2876
TX
207NP0225X
Pediatric Dermatology Physician
A113333
CA
207NS0135X
Procedural Dermatology Physician
R2876
TX

Other

Enumeration date
05/04/2010
Last updated
11/19/2019
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