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Organization

HOLLADAY LASIK INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK T. HOLLADAY M.D. (PRESIDENT)
(713) 668-7337
Entity
Organization

Contact information

Practice address
6802 MAPLERIDGE ST, SUITE 200, BELLAIRE, TX 77401-3943
(713) 668-7337
(713) 668-7336
Mailing address
6802 MAPLERIDGE ST, SUITE 200, BELLAIRE, TX 77401-3943
(713) 668-7337
(713) 668-7336

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E2621
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E2621
MEDICAL LICENSE
TX
Enumeration date
01/03/2008
Last updated
06/21/2018
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