Individual
ADAM BRADY HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5120 LEGACY DR, PLANO, TX 75024-3399
(469) 613-1722
Mailing address
4512 ARLEN DR, PLANO, TX 75093-7107
(940) 632-8113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
728599
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
251249
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1112834
TX
Other
Enumeration date
11/17/2022
Last updated
06/07/2023
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