Provider Demographics
NPI:1851745459
Name:CHEUNG, HOLLY
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:ELIASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4085 OHIO DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6245
Mailing Address - Country:US
Mailing Address - Phone:972-421-8725
Mailing Address - Fax:
Practice Address - Street 1:4085 OHIO DR STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6245
Practice Address - Country:US
Practice Address - Phone:972-421-8725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXS4626207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program