Dr. Kerry D Holliman, M.D.
Obstetrics & Gynecology, Maternal & Fetal Medicine in Austin, TX. Individual provider (NPI-1).
Details
- NPI
- 1528080892
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kerry D Holliman
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2006
- Certification date
- May 6, 2021
- Last updated
- Feb 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | S9517 | TX | Yes |
Practice location
12200 Renfert Way Ste G-3Austin, TX 78758-5654
Phone 512-821-2540 · Fax 512-776-1956
Mailing address
12200 Renfert Way Ste G-3Austin, TX 78758-5654
Phone 512-821-2540 · Fax 127-761-9565
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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