Provider Information for 1982273892
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Mr. DONALD EUGENE HOLLIS Jr. LPC
Sex: Male
NPI: 1982273892
Last Updated: 2021-06-24
Certification Date: 2021-06-23
Certification Date: 2021-06-23
Details
| Name | Value | ||||||||
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| NPI | 1982273892 | ||||||||
| Enumeration Date | 2021-06-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4344 W NORTHGATE DR APT 216 IRVING, TX 75062-2441 United States Phone: 682-284-8999 | Fax: | ||||||||
| Primary Practice Address | 612 E LAMAR BLVD ARLINGTON, TX 76011-4121 United States Phone: 682-236-6023 | Fax: | ||||||||
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