Provider Demographics
NPI:1023447497
Name:HOLLEK, STEPHEN DANIEL (DPT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DANIEL
Last Name:HOLLEK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:STEPHEN
Other - Middle Name:
Other - Last Name:HOLLEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:1919 GRAYSTONE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2336
Mailing Address - Country:US
Mailing Address - Phone:281-639-5792
Mailing Address - Fax:
Practice Address - Street 1:1150 N LOOP 336 W
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1156
Practice Address - Country:US
Practice Address - Phone:936-494-3777
Practice Address - Fax:936-494-3788
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1237226225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist