PRESCOTT BENTON HOLLAND

GRAND PRAIRIE, TX
NPI1205275617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2013-06-19
Last Update Date2013-07-12
Business Address
Mr. PRESCOTT BENTON HOLLAND
201 W TARRANT RD APT 1420
GRAND PRAIRIE, TX 75050-3583
Phone number: 469-684-1578
Mailing Address
Mr. PRESCOTT BENTON HOLLAND
PO BOX 532175
GRAND PRAIRIE, TX 75053
Phone number: 469-684-1578
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