Individual
DR. JACK T. HOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6802 MAPLERIDGE ST, 200, BELLAIRE, TX 77401-3943
(713) 668-7337
(713) 668-7336
Mailing address
6602 MAPLERIDGE, 200, BELLAIRE, TX 77401
(713) 668-7337
(713) 668-7336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2621
TX
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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