MICHAEL A HOLY A PROFESSIONAL MEDICAL CORPORATION
Organization (NPI-2)
Active
Ophthalmology
Provider Information
- NPI Number
1790726693- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1801 FAIRFIELD AVE SUITE 101, SHREVEPORT, LA, 711014443
- Phone
- (318) 424-1617
- Fax
- (318) 424-1610
Specialties & Taxonomies
Ophthalmology
Primary License: LA #03517R