Provider Demographics
NPI:1417988098
Name:HOLLANDER, PRISCILLA ARLENE (PHD, MD)
Entity Type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:ARLENE
Last Name:HOLLANDER
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Gender:F
Credentials:PHD, MD
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Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 656
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-820-3466
Mailing Address - Fax:214-820-3468
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE 656
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-820-3466
Practice Address - Fax:214-820-3468
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE7985207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106145901Medicaid
TN89540NOtherBCBS
TX460002746Medicare PIN
TX89540NMedicare PIN
TN89540NOtherBCBS