Individual
DR. DONALD A HOLLSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4114 POND HILL RD STE 100, SAN ANTONIO, TX 78231-1273
(210) 616-0739
(210) 616-0972
Mailing address
4114 POND HILL RD, STE 100, SAN ANTONIO, TX 78231-1273
(210) 616-0739
(210) 616-0972
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G2150
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
G2150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331308-01
—
TX
05
—
1331308-02
—
TX
05
—
133130805
—
TX
Enumeration date
04/11/2006
Last updated
01/06/2020
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