Provider Demographics
NPI:1043952963
Name:HOLZHAUSER, ANYA SERGEY (MD)
Entity Type:Individual
Prefix:
First Name:ANYA
Middle Name:SERGEY
Last Name:HOLZHAUSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANYA
Other - Middle Name:SERGEY
Other - Last Name:POVARENKINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2900 E 29TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2900 E 29TH ST STE 300
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2623
Practice Address - Country:US
Practice Address - Phone:979-436-9162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program