HOLLIWAY MEDICAL CLINIC LLC – NPI #1891833869
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

HOLLIWAY MEDICAL CLINIC LLC is a provider located in SHREVEPORT, LA. NPPES has assigned the NPI number 1891833869 to HOLLIWAY MEDICAL CLINIC LLC on February 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. HOLLIWAY MEDICAL CLINIC LLC is also known by the name HOLLIWAY PEDIATRIC CLINIC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLLIWAY MEDICAL CLINIC LLC below.

NPI Profile for
HOLLIWAY MEDICAL CLINIC LLC

NPI Number
1891833869
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOLLIWAY MEDICAL CLINIC LLC
Other Name: HOLLIWAY PEDIATRIC CLINIC
Primary location
3824 HEARNE AVE
SHREVEPORT, LA 71103
Phone: (318) 635-8606 Fax: (318) 635-1265
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRONDWYN HOLLIWAY
PHYSICIAN
Phone: (318) 635-8606
Updated
Identifiers

Identifiers for HOLLIWAY MEDICAL CLINIC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGROUP #LA1449423
MEDICAIDLA1966207
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)		 LA 021100

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.