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Active NPI 1831905694 Individual Practitioner Female Practitioner

Anjae Taray Holder

Nurse Practitioner - Pediatrics • Mansfield, TX

Professional Overview & Biography Verified Profile Summary

Anjae Holder is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Mansfield, TX. Practice services are available at 1759 BROAD PARK CIR S STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1759 Broad Park Cir S Ste 201

Mansfield, TX 760637834

Telephone 6823413910
Associated Practice Facility / Clinic
🏢 Harmonyville Pllc Facility NPI 1023962636

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Mansfield, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Mansfield, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-06
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 1174771

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1073190286

Doctor of Osteopathic Medicine (D.O.)

Jeanette Lopez

Physician Assistant

NPI 1093671489
Ramy Sabe , MBBCH

Pediatrics - Pediatric Gastroenterology

NPI 1235577800
Hannah Armendarez

Nurse Practitioner - Pediatrics

NPI 1417695172
NPI 1619691953

Family Nurse Practitioner (Certified)

Kathryne Rivero , RN, ARPN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1740910280

Registered Nurse, ARPN, CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active December 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2024

Registered at 1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 760637834 (Tel: 6823413910)

📍
Updated Business Mailing Address December 06, 2024

Registered at 1101 MIRAMAR AVE, DESOTO, TX 751154816

👤
Provider Name / Credentials Updated December 06, 2024

Recorded as ANJAE HOLDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2024

Nurse Practitioner (License #1174771 in TX)

🟢
Initial NPI Registration & Enumeration December 06, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831905694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2024
Last Update: December 06, 2024
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1101 Miramar Ave

Desoto, TX 751154816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.