Provider Demographics
NPI:1831384742
Name:HOLLIER, EBONI SMITH (MD)
Entity type:Individual
Prefix:
First Name:EBONI
Middle Name:SMITH
Last Name:HOLLIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 OLD CHOCOLATE BAYOU RD STE B
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8996
Mailing Address - Country:US
Mailing Address - Phone:832-703-0770
Mailing Address - Fax:832-558-9399
Practice Address - Street 1:2913 OLD CHOCOLATE BAYOU RD STE B
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8996
Practice Address - Country:US
Practice Address - Phone:832-703-0770
Practice Address - Fax:832-558-9399
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP19272080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics