Provider Demographics
NPI:1255523627
Name:HOLDERER, HILARY STOW (PT)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:STOW
Last Name:HOLDERER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:STOW
Other - Last Name:MURILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:201 N COLLEGIATE DR
Mailing Address - Street 2:STE 550
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-1494
Mailing Address - Country:US
Mailing Address - Phone:903-784-3173
Mailing Address - Fax:
Practice Address - Street 1:201 N COLLEGIATE DR
Practice Address - Street 2:STE 550
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-1494
Practice Address - Country:US
Practice Address - Phone:903-784-3173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist