Individual
DR. MELINDA HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W STATE HIGHWAY 71 STE 102, BASTROP, TX 78602-4234
(512) 308-4311
(512) 406-7327
Mailing address
622 W STATE HIGHWAY 71 STE 102, BASTROP, TX 78602-4234
(512) 308-4311
(512) 406-7397
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
232546
NY
208000000X
Pediatrics Physician
MA08333300
NJ
208000000X
Pediatrics Physician
Primary
N8520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214713403
—
TX
05
—
214713404
—
TX
Enumeration date
08/31/2006
Last updated
11/18/2022
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