Thrailkill, Holly

Thrailkill, Holly is an sole proprietor health care provider with primary practice located at 1405 S 8Th St , La Porte TX 77571-6207. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Nutrition Support, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Thrailkill, Holly can be contacted via phone (832) 262-8358.

Contact Information

Primary practice address
1405 S 8Th St La Porte TX 77571-6207
Phone: (832) 262-8358
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 759528 Texas
Nursing Service Providers / Nutrition Support 163WN1003X 759528 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 759528 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 759628 Texas

Profile Details

NPI number 1003361098
LBN Legal business name Thrailkill, Holly
Credentials AGPCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2016
Last updated Jul 2nd, 2019 - about 6 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 1003361098 NPPES
Other NONE NONE

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