Dr Tara Ashley Holland, MD | |
1514 Doctors Dr, Bossier City, LA 71111-3379 | |
(318) 549-2500 | |
(318) 741-8175 |
Full Name | Dr Tara Ashley Holland |
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Gender | Female |
Speciality | Pediatrics |
Location | 1514 Doctors Dr, Bossier City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639435233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MD.208054 (Louisiana) | Primary |
Entity Name | David Raines Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215933254 PECOS PAC ID: 4688586118 Enrollment ID: O20041007000508 |
Mailing Address | Practice Location Address |
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Dr Tara Ashley Holland, MD 3041 Martin Luther King Drive, Shreveport, LA 71107-4705 Ph: (318) 227-3350 | Dr Tara Ashley Holland, MD 1514 Doctors Dr, Bossier City, LA 71111-3379 Ph: (318) 549-2500 |
Manohar R. Manchandia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Shed Rd, Bossier City, LA 71111 Phone: 318-747-5272 Fax: 318-746-9669 | |
Dr. Zack G Sanders, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Ste 120, Bossier City, LA 71111 Phone: 318-742-6710 Fax: 318-747-5393 | |
Randall Glen White Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 120, Bossier City, LA 71111 Phone: 318-212-7982 Fax: 318-212-7989 | |
Quynh Tran Dang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr Ste 340, Bossier City, LA 71111 Phone: 318-212-7883 Fax: 318-212-7885 | |
Dr. Jacqueline J Gray, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 420, Bossier City, LA 71111 Phone: 318-212-7880 | |
Jennifer Kelley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5751 Shed Rd Ste 120, Bossier City, LA 71111 Phone: 318-935-1922 Fax: 318-935-1925 | |
Dr. Robert Borden Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 120, Bossier City, LA 71111 Phone: 318-212-7982 Fax: 318-212-7989 |