Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | K7300 | TX |
NPI | 1003920729 |
---|---|
Provider Name | Joseph D Hollingsworth |
First Address | Amarillo, TX 79119-6970 |
Second Address | Amarillo, TX 79106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 03/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F-33754 | (02) |