Individual
DR. BRADFORD W HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-2166
(254) 248-0626
Mailing address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-2166
(254) 248-0626
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L3681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150412801
—
TX
Enumeration date
06/05/2006
Last updated
11/18/2024
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