Provider Demographics
NPI:1891113080
Name:HOLLIDAY, MICHAEL WAYNE JR (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WAYNE
Last Name:HOLLIDAY
Suffix:JR
Gender:M
Credentials:MD, PHD
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Other - First Name:
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Mailing Address - Street 1:7200 CAMBRIDGE STREET
Mailing Address - Street 2:MS BCM 903
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-4951
Mailing Address - Fax:
Practice Address - Street 1:7200 CAMBRIDGE STREET
Practice Address - Street 2:MS BCM 903
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-4951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS1128207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology