Dr. Brondwyn Holliway
M.D. | Pediatrics | Female
Dr. Brondwyn Holliway, M.D. is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Brondwyn Holliway is
3824 Hearne Ave, Shreveport, Louisiana - 71103-4328. She can be contacted on phone at
318-635-8606 and fax number 318-635-1265.
Dr. Brondwyn Holliway is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Brondwyn Holliway is
1790818359 which was assigned by NPPES on 13 Mar, 2007 and it was last updated on 08 Jul, 2007.
Dr. Brondwyn Holliway license number is
021100 for Pediatrics (208000000X) in Louisiana.
Dr. Brondwyn Holliway is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Brondwyn Holliway basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Brondwyn Holliway |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Brondwyn Holliway address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3824 Hearne Ave
Shreveport, LA, 71103-4328
United States |
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| Phone Number : | 318-635-8606 |
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| Fax Number : | 318-635-1265 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790818359 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Mar, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brondwyn Holliway are as mentioned. Primary taxonomy code for Dr. Brondwyn Holliway, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 021100 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Brondwyn Holliway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1449423 | Other | LA | GROUP NUMBER |
| 1966207 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3824 Hearne Ave
Shreveport, LA, 71103-4328
United States |
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| Phone Number : | 318-635-8606 |
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| Fax Number : | 318-635-1265 |
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Business Location:
Patients can refer following map for directions to
Dr. Brondwyn Holliway practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.