Provider Demographics
NPI:1255437414
Name:HOLLAND HEALTH AND FAMILY CENTER
Entity type:Organization
Organization Name:HOLLAND HEALTH AND FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-657-2839
Mailing Address - Street 1:204 HACKBERRY RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:TX
Mailing Address - Zip Code:76534
Mailing Address - Country:US
Mailing Address - Phone:254-657-2839
Mailing Address - Fax:254-657-2845
Practice Address - Street 1:503 CROCKETT
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:TX
Practice Address - Zip Code:76534
Practice Address - Country:US
Practice Address - Phone:254-657-2839
Practice Address - Fax:254-657-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9540251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare