Bollinger, Hautina K

Bollinger, Hautina K is an sole proprietor health care provider with primary practice located at 3861 Long Prairie Rd Suite 107, Flower Mound TX 75028-1569. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bollinger, Hautina K can be contacted via phone (214) 356-4329.

Contact Information

Primary practice address
3861 Long Prairie Rd Suite 107 Flower Mound TX 75028-1569
Phone: (214) 356-4329
Fax: (972) 691-2342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25332 Texas
Behavioral Health & Social Service Providers / Health Service 103TH0100X 25332 Texas

Profile Details

NPI number 1932117348
LBN Legal business name Bollinger, Hautina K
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Sep 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932117348 NPPES
Texas MEDICAID 113407402

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