Individual
KENNETH WAYNE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11914 ASTORIA BLVD STE 125, HOUSTON, TX 77089-6073
(281) 482-4300
(281) 482-3159
Mailing address
PO BOX 58869, WEBSTER, TX 77598-8869
(281) 482-4300
(281) 482-3159
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J4856
TX
Other
Enumeration date
02/21/2006
Last updated
03/16/2017
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