Individual
DR. MARK WALKER HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
F0517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128828406
—
TX
01
—
81M641
BCBS
TX
Enumeration date
08/10/2005
Last updated
04/16/2010
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