Individual provider Active NPI

Tara Ashley Holland, MD

  • Pediatrics Physician
  • Marshall, TX
National Provider Identifier
1639435233
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V4400 Issued in TX
Practice address
1900 E End Blvd N
Marshall, TX 75670
Phone
(903) 702-5835
Fax
(903) 927-1764
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X V4400 TX Primary
Pediatrics Physician 208000000X MD.208054 LA

Addresses

Primary practice location

1900 E End Blvd N
Marshall, TX 75670

Mailing address

PO Box 1326
Marshall, TX 75671-1326
Phone (903) 927-3782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120004380 TX Practitioner - Pediatric Medicine 1850600248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.208054LAMDPediatrics Physician
V4400TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Border Health Clinic CurrentSince Nov 11, 2024 Accepting new patients
East Texas Border Health Clinic Pediatrics CurrentSince Nov 11, 2024 Accepting new patients
East Texas Border Health Clinic Current Accepting new patients
East Texas Border Health Clinic PastSince Sep 5, 2021 Accepting new patients
East Texas Border Health Clinic PastSince Sep 21, 2025 Accepting new patients

Locations

618 S Grove St
Ste 100300
Marshall, TX 75670
Phone (903) 927-6620

1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1639435233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711326",
            "telephone_number": "903-927-3782",
            "fax_number": "903-927-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E END BLVD N",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75670",
            "telephone_number": "903-702-5835",
            "fax_number": "903-927-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "TARA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V4400",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.208054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.