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Individual

ROBERT C HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4780 STATE HIGHWAY 121, THE COLONY, TX 75056-2913
(214) 469-2500
(214) 469-1111
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M0113
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0092NK
BCBS
TX
05
174656205
TX
05
174656208
TX
01
8P0438
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/10/2006
Last updated
11/12/2018
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