Basic Information
Provider Information
NPI: 1275851198
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNN
FirstName: HOLLY
MiddleName: ELSBETH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 733784
Address2:  
City: DALLAS
State: TX
PostalCode: 753733784
CountryCode: US
TelephoneNumber: 6828851860
FaxNumber: 6828851396
Practice Location
Address1: 1933 PINE STE
Address2: STE A
City: ABILENE
State: TX
PostalCode: 79601
CountryCode: US
TelephoneNumber: 3256920626
FaxNumber: 3256920638
Other Information
ProviderEnumerationDate: 05/17/2010
LastUpdateDate: 05/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XBP1-0037519TXN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VM0101XBP20050993TXN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
207VM0101XQ1816TXY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

No ID Information.


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