Holland Health and Family Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

K9540 Issued in TX

Legal business name

HOLLAND HEALTH AND FAMILY CENTER

Practice address

503 Crockett
Holland, TX 76534

Phone

(254) 657-2839

Fax

(254) 657-2845

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeremy Gibson, MD

Title

Clinic Director

Phone

(254) 657-2839

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255437414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HACKBERRY RD",
            "city": "HOLLAND",
            "state": "TX",
            "postal_code": "76534",
            "telephone_number": "254-657-2839",
            "fax_number": "254-657-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CROCKETT",
            "city": "HOLLAND",
            "state": "TX",
            "postal_code": "76534",
            "telephone_number": "254-657-2839",
            "fax_number": "254-657-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND HEALTH AND FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "254-657-2839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": "K9540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Bruggman
• Cynthia Lively, LPC

• Public Health or Welfare Agency in Holland, TX
• Providers in Holland, TX by specialty
• Public Health or Welfare Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.