Individual
DR. JOHANNA GRACE HOLLWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, QUALITY SERVICES ATTN: MCHE-ZQQ, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-3647
(210) 916-3195
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-3647
(210) 916-3195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1138
NE
207RG0100X
Gastroenterology Physician
Primary
1138
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2012
Last updated
03/18/2023
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