Provider Demographics
NPI:1801013800
Name:VENESSA ANN HOLLAND MD PA
Entity Type:Organization
Organization Name:VENESSA ANN HOLLAND MD PA
Other - Org Name:ENVIRONMENTAL PULMONARY CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VENESSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-799-2224
Mailing Address - Street 1:7515 S MAIN ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-799-2224
Mailing Address - Fax:713-799-2225
Practice Address - Street 1:7515 MAIN ST
Practice Address - Street 2:SUITE 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4519
Practice Address - Country:US
Practice Address - Phone:713-799-2224
Practice Address - Fax:713-799-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3473207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138497613Medicaid
TXC17029Medicare UPIN
TX00674GMedicare ID - Type UnspecifiedMEDICARE FOR PA