Individual
MR. CHALON HOLLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
220 HOLLYWOOD DR, COPPELL, TX 75019-7308
(682) 365-4872
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125738
TX
Other
Enumeration date
06/19/2014
Last updated
06/12/2016
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