NPI age
19 years
Enumerated 2006-07-03
● Active
Type 1 · Individual
Jeffrey Lynn Holloway, DO
Holloway is 1 of 112 surgery providers in Fort Worth and 1 of 3028 in Texas.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-08-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3028 active surgery providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
6100 Harris Pkwy Ste 290
Fort Worth, TX 761324127
Mailing address
6100 Harris Pkwy Ste 290
Fort Worth, TX 761324127
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 1568492999 | |
| 01 (MO) | P00735208 | RR MEDICARE |
| 05 (KS) | 200612550A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new surgery provider has been added in Fort Worth in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.