Individual
DR. ERIC STEPHEN HOLLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5805 COIT RD STE 203, PLANO, TX 75093-6990
(469) 769-3376
Mailing address
1030 S COIT RD, PROSPER, TX 75078-2950
(469) 769-3376
(972) 378-0630
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
H6293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700006740
RAILROAD MEDICARE
TX
05
—
131932907
—
TX
01
—
2E7355
PTAN
TX
Enumeration date
08/31/2005
Last updated
02/24/2025
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