Organization
HOLLIWAY MEDICAL CLINIC LLC
Active
Other names
Holliway Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRONDWYN ANN HOLLIWAY MD (PHYSICIAN)
(318) 635-8606
Entity
Organization
Contact information
Practice address
3824 HEARNE AVE, SHREVEPORT, LA 71103
(318) 635-8606
(318) 635-1265
Mailing address
3824 HEARNE AVE, SHREVEPORT, LA 71103
(318) 635-8606
(318) 635-1265
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
021100
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1449423
GROUP #
LA
05
—
1966207
—
LA
Enumeration date
02/02/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us