Individual provider · Type 1 NPI

Angela Benita Holland

Surgical Physician Assistant · Grand Prairie, TX

NPI number 1316386774 Active

Practice location

201 W Tarrant Rd Apt 1420
Grand Prairie, TX 75050-3583

Fax (214) 677-0079

Mailing address

PO Box 532175
Grand Prairie, TX 75053-2175

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1316386774

Angela Benita Holland's National Provider Identifier is 1316386774, issued on Jun 19, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 8, 2013.