Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | PA06588 | TX |
NPI | 1013249077 |
---|---|
Provider Name | Rachel Holland |
First Address | Granbury, TX 76048-5655 |
Second Address | Granbury, TX 76048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 11/09/2020 |