Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anjae Taray Holder

Individual provider Pediatric Nurse Practitioner · NPI 1831905694

Anjae Taray Holder is a Pediatric Nurse Practitioner in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

1759 Broad Park Cir S Ste 201
Mansfield, TX 76063-7834
Phone: (682) 341-3910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1174771 (TX)

Record details

NPI number1831905694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address1101 Miramar Ave, Desoto, TX 75115-4816

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