Organization
MD PEDIATRIC ASSOCIATES, P.A.
Active
Other names
MD Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W HOLT M.D. (PRESIDENT)
(972) 420-1475
Entity
Organization
Contact information
Practice address
760 N DENTON TAP RD, SUITE 130, COPPELL, TX 75019-2163
(972) 420-1475
(214) 222-2435
Mailing address
PO BOX 2429, COPPELL, TX 75019-8429
(972) 420-1475
(214) 222-2435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
07/30/2006
Last updated
02/17/2012
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