Provider Demographics
NPI:1457982845
Name:HOLLAWAY, IRHONDA
Entity Type:Individual
Prefix:
First Name:IRHONDA
Middle Name:
Last Name:HOLLAWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11980 KIRBY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4860
Mailing Address - Country:US
Mailing Address - Phone:713-848-0958
Mailing Address - Fax:713-433-3709
Practice Address - Street 1:5203 AMBER SKY LN
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2571
Practice Address - Country:US
Practice Address - Phone:713-835-2896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143587363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care