Individual
PAMELA DENESE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11 BYRON NELSON, SAN ANTONIO, TX 78257-1726
(602) 793-3380
Mailing address
11 BYRON NELSON, SAN ANTONIO, TX 78257-1726
(602) 793-3380
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
240922
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP103210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0480280
BLUE CROSS BLUE SHIELD
AZ
01
—
750332
AHCCS #
AZ
01
—
AZ144000&AZ480280
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/29/2006
Last updated
10/18/2016
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