Individual
MR. PRESCOTT BENTON HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W TARRANT RD APT 1420, GRAND PRAIRIE, TX 75050-3583
(469) 684-1578
(214) 677-0079
Mailing address
PO BOX 532175, GRAND PRAIRIE, TX 75053
(469) 684-1578
(214) 677-0079
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
07/12/2013
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