Individual
DR. HOLLY MEAD FATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-5092
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-5092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10043661
TX
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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