Individual
TYRIN W HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1540 BERCKMANS RD, FORT WORTH, TX 76120-1500
(817) 308-1806
Mailing address
4009 COTTAGE PARK CT, ARLINGTON, TX 76013-8087
(817) 308-1806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
823477505
TX
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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