Individual
HOLLY KATHLEEN CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 FOREST LN STE C840, DALLAS, TX 75230-6868
(972) 849-0610
Mailing address
1904 ALISO RD, PLANO, TX 75074-3603
(972) 849-0610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12453
TX
Other
Enumeration date
04/15/2021
Last updated
02/11/2022
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