Provider Demographics
NPI:1629171814
Name:HOLLAND, PAMELA JO (LM, CPM)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:JO
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 FM 3427
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-6780
Mailing Address - Country:US
Mailing Address - Phone:214-769-9338
Mailing Address - Fax:214-307-8058
Practice Address - Street 1:1057 FM 3427
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-6780
Practice Address - Country:US
Practice Address - Phone:214-769-9338
Practice Address - Fax:214-307-8058
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00003176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife