Individual
IRA NEIL HOLLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 RIVER RUN, SUITE 902, FORT WORTH, TX 76107-6579
(817) 332-8847
(817) 332-3614
Mailing address
1701 RIVER RUN, SUITE 902, FORT WORTH, TX 76107-6579
(817) 332-8847
(817) 332-3614
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E8564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129525506
—
TX
05
—
129525507
—
TX
05
—
129525508
—
TX
01
—
129525509
MEDICAID OTHER
TX
05
—
129525510
—
TX
Enumeration date
09/20/2005
Last updated
07/13/2015
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