Ronald Ayers Holliday Jr., FNP
Individual provider Active NPI Family Medicine Physician · Bulverde, TX
NPI 1104708262 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1104708262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1021511 (TX)
- Practice address
- 1781 E Ammann Rd
Bulverde, TX 78163-2034 - Phone
- (830) 228-4219
- Fax
- (830) 251-4477
- NPI assigned
- Jul 21, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021511 | TX | MD | Family Medicine Physician |
Interoperability endpoints
- ronald.holliday.1@32578.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1021511 | TX | Yes |
Addresses
Primary practice location
1781 E Ammann Rd
Bulverde, TX 78163-2034
Mailing address
454 Millwood LN
San Antonio, TX 78216-6407
Phone (210) 748-5101
Other providers in Bulverde, TX
- Hill Country Home Healthcare Services LLC
- Hill Country Special Care Dental Center, PLLC
- Hill Country Wound Care Vascular & Hyperbarics
- Maiara Lisiane Hister-Cockrell
- Duyen Ho
- Home Town Family Healthcare
- Alexa Alayne Hyde
- Innovative Dialysis Solutions at Home, PLLC
- Integrated Behavior Solutions, Inc.
- Irvin P. Brock III, M.D., P.a.
All providers in Bulverde, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.