Provider Demographics
NPI:1699284224
Name:HOLLAND, MOLLIE (LVN)
Entity type:Individual
Prefix:
First Name:MOLLIE
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:MOLLIE
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6620 GESSNER RD APT 6210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-4065
Mailing Address - Country:US
Mailing Address - Phone:832-373-0468
Mailing Address - Fax:
Practice Address - Street 1:6620 GESSNER RD APT 6210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-4065
Practice Address - Country:US
Practice Address - Phone:832-373-0468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329267164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse