Individual
HOLLY R SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 UNIVERSITY BLVD BLDG A, ROUND ROCK, TX 78665-1032
(512) 509-0200
(512) 509-2229
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0006953
CO
363A00000X
Physician Assistant
Primary
PA18040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000197583
—
CO
Enumeration date
09/08/2021
Last updated
09/24/2024
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