Provider Demographics
NPI:1235703323
Name:HOLLINS, TAMEKA ELAINE
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:ELAINE
Last Name:HOLLINS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 KINGSLAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3187
Mailing Address - Country:US
Mailing Address - Phone:314-720-3355
Mailing Address - Fax:314-254-8355
Practice Address - Street 1:725 KINGSLAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-3187
Practice Address - Country:US
Practice Address - Phone:314-720-3355
Practice Address - Fax:314-254-8355
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No172A00000XOther Service ProvidersDriver