Individual
MRS. VIVIAN ELAINE HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1579 LCR 310, MART, TEXAS, TX 76664-5206
(254) 344-2217
(254) 344-2217
Mailing address
1579 LCR 310, MART, TEXAS, TX 76664-5206
(254) 344-2217
(254) 344-2217
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000422
TX
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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