Individual
CALLIE M HOLLENSHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4101 LOMO ALTO DR, DALLAS, TX 75219-1516
(214) 226-5263
(214) 522-2701
Mailing address
4101 LOMO ALTO DR, DALLAS, TX 75219-1516
(214) 226-5263
(214) 522-2701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187609601
—
TX
01
—
8X0091
BLUE CROSS
TX
Enumeration date
05/07/2007
Last updated
10/18/2021
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