| NPI | 1891833869 |
|---|---|
| Other Name | HOLLIWAY PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRONDWYN ANN HOLLIWAY Physician 318-635-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 021100) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |