Individual
ELIZABETH M HOLPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 S MAIN ST, FORT WORTH, TX 76104
(817) 702-6926
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M6195
TX
207RI0011X
Interventional Cardiology Physician
Primary
M6195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187737501
—
TX
Enumeration date
12/18/2006
Last updated
03/21/2019
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