Provider Demographics
NPI:1225463896
Name:HOLLIMON, JULIE D (CP-LP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:D
Last Name:HOLLIMON
Suffix:
Gender:F
Credentials:CP-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 SAN JACINTO PL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3254
Mailing Address - Country:US
Mailing Address - Phone:469-241-1477
Mailing Address - Fax:
Practice Address - Street 1:7700 SAN JACINTO PL
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3254
Practice Address - Country:US
Practice Address - Phone:469-241-1477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1468224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist