Organization
HOLLY PSYCHIATRIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO QUINTANILLA (MEDICAL DIRECTOR)
(361) 813-6210
Entity
Organization
Contact information
Practice address
5151 FLYNN PKWY STE 307, CORPUS CHRISTI, TX 78411-4384
(361) 993-4835
(361) 993-7043
Mailing address
5151 FLYNN PKWY STE 307, CORPUS CHRISTI, TX 78411-4384
(361) 993-4835
(361) 993-7043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2B0918
MEDICARE
TX
05
—
451455601
—
TX
Enumeration date
01/30/2018
Last updated
04/13/2026
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