| Dr Melinda Holliday, MD | |
|
622 W State Highway 71 Ste 102, Bastrop, TX 78602-4234 | |
| (512) 308-4311 | |
| (512) 406-7327 |
| Full Name | Dr Melinda Holliday |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 622 W State Highway 71 Ste 102, Bastrop, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346352408 | NPI | - | NPPES |
| 214713404 | Medicaid | TX | |
| 214713403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 232546 (New York) | Secondary |
| 208000000X | Pediatrics | MA08333300 (New Jersey) | Secondary |
| 208000000X | Pediatrics | N8520 (Texas) | Primary |
| Entity Name | Bernard T Swift |
|---|---|
| Entity Type | Practitioner - Family Practice |
| Entity Identifiers | NPI Number: 1497722235 PECOS PAC ID: 1759323058 Enrollment ID: I20120816000742 |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melinda Holliday, MD 622 W State Highway 71 Ste 102, Bastrop, TX 78602-4234 Ph: (512) 308-4311 | Dr Melinda Holliday, MD 622 W State Highway 71 Ste 102, Bastrop, TX 78602-4234 Ph: (512) 308-4311 |
Dr. Christine Ann Trevino, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 512-308-6894 | |
Larry C Herrera, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 877-583-4093 | |
Dr. Mary Jane Wray, M.D., PHD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 830-875-6398 | |
Dr. Edgar L Molina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 | |
Justin Gor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 622 W State Highway 71 Ste 102, Bastrop, TX 78602 Phone: 512-308-4311 Fax: 512-406-7397 |