Provider Demographics
NPI:1134963697
Name:MICHAEL R. HOLLAND, M.D., INC.
Entity type:Organization
Organization Name:MICHAEL R. HOLLAND, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RYBURN
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-824-3818
Mailing Address - Street 1:1 HOSPITAL DRIVE, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-3641
Mailing Address - Country:US
Mailing Address - Phone:337-824-3819
Mailing Address - Fax:337-824-0160
Practice Address - Street 1:1 HOSPITAL DRIVE, SUITE 100
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-3641
Practice Address - Country:US
Practice Address - Phone:337-824-3819
Practice Address - Fax:337-824-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty