Individual provider Active NPI

Laurie S Holley, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, TX
National Provider Identifier
1700848983
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J6495 Issued in TX
Practice address
4600 E Sam Houston Pkwy South
Pasadena, TX 77505
Phone
(713) 785-8357
Fax
(713) 798-5838
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J6495 TX Primary

Addresses

Primary practice location

4600 E Sam Houston Pkwy South
Pasadena, TX 77505

Mailing address

One Baylor Plaza
Houston, TX 77030-3411
Phone (281) 554-7031

Other identifiers 2

IdentifierTypeStateIssuer
102336803MedicaidTX
102336802MedicaidTX

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
I20100825000091 TX Practitioner - Pathology 9931223138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown and Associates Medical Laboratories LLPGroup PAC ID 3072508316, 12 clinicians

Practice addresses (Care Compare)

1705 Jackson St
Richmond, TX 77469-3246
Phone (713) 559-6929

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (713) 559-6929

Hospital & facility affiliations

  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6495TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Forensic Pathology CurrentSince Feb 17, 2024 Accepting new patients
Houston Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2018 Accepting new patients
J S Wilkenfeld MD & Associates Anatomic Pathology & Clinical Pathology Current Accepting new patients
Brown & Associates Medical Laboratories LLP Anatomic Pathology & Clinical Pathology CurrentSince Feb 15, 2025 Accepting new patients
Brown & Associates Medical Laboratories, LLP Anatomic Pathology & Clinical Pathology CurrentSince Feb 15, 2025 Accepting new patients
Clear Lake Pathology Partners LTD Anatomic Pathology & Clinical Pathology Current Accepting new patients
Alliance Pathology Consultants PA Forensic Pathology Current Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

2525 W Bellfort Ave
Ste 120
Houston, TX 77054
Phone (713) 683-2975

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

1 Baylor Plz
Va Hospital, TX 77030
Phone (713) 798-5588

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1700848983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "281-554-7031",
            "fax_number": "832-355-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E SAM HOUSTON PKWY SOUTH",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77505",
            "telephone_number": "713-785-8357",
            "fax_number": "713-798-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "LAURIE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2024-02-28",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J6495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102336803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102336802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.