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Individual

MICHAEL JAMES HOLLINGSED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1600 MEDICAL CENTER DR, STE 212, EL PASO, TX 79902-5008
(915) 532-3977
(915) 532-5866
Mailing address
1600 MEDICAL CENTER DR, STE 212, EL PASO, TX 79902-5008
(915) 532-3977
(915) 532-5866

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01519
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3172736
TX
Enumeration date
07/01/2005
Last updated
09/09/2013
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