Dr Melinda Holliday, MD | |
622 W State Highway 71 Ste 102, Bastrop, TX 78602-4234 | |
(512) 308-4311 | |
(512) 406-7327 |
Full Name | Dr Melinda Holliday |
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Gender | Female |
Speciality | Pediatrics |
Location | 622 W State Highway 71 Ste 102, Bastrop, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346352408 | NPI | - | NPPES |
214713404 | Medicaid | TX | |
214713403 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 232546 (New York) | Secondary |
208000000X | Pediatrics | MA08333300 (New Jersey) | Secondary |
208000000X | Pediatrics | N8520 (Texas) | Primary |
Entity Name | Bernard T Swift |
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Entity Type | Practitioner - Family Practice |
Entity Identifiers | NPI Number: 1497722235 PECOS PAC ID: 1759323058 Enrollment ID: I20120816000742 |
Entity Name | Austin Regional Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
Mailing Address | Practice Location Address |
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Dr Melinda Holliday, MD 622 W State Highway 71 Ste 102, Bastrop, TX 78602-4234 Ph: (512) 308-4311 | Dr Melinda Holliday, MD 622 W State Highway 71 Ste 102, Bastrop, TX 78602-4234 Ph: (512) 308-4311 |
Dr. Christine Ann Trevino, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 512-308-6894 | |
Dr. Mary Jane Wray, M.D., PHD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 830-875-6398 | |
Dr. Edgar L Molina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 |