Individual
GLADYS JEFFERSON-HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 S WILLOW DR STE 203, HOUSTON, TX 77035-4700
(832) 775-3493
Mailing address
5600 S WILLOW DR STE 203, HOUSTON, TX 77035-4700
(832) 775-3493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820748994
—
TX
Enumeration date
04/14/2021
Last updated
04/14/2021
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