Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | D13756 | TX |
NPI | 1013982016 |
---|---|
Provider Name | Dr. Peter L Holland |
First Address | Denton, TX 76201-3026 |
Second Address | Denton, TX 76201-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T13877 | (02) | TX |