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Individual

DR. ALLEN D HOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4204 GARDENDALE STREET, SUITE 312, SAN ANTONIO, TX 78229-3141
(210) 293-6006
(210) 614-1722
Mailing address
4204 GARDENDALE STREET, SUITE 312, SAN ANTONIO, TX 78229-3141
(210) 293-6006
(210) 614-1722

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
222071
NY
207P00000X
Emergency Medicine Physician
Primary
M6193
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186351604
TX
Enumeration date
11/03/2006
Last updated
05/29/2015
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