Individual
MRS. ANITA GREWAL HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6124 W PARKER RD STE 530, PLANO, TX 75093-8140
(214) 778-1075
(214) 778-1237
Mailing address
6124 W PARKER RD STE 530, PLANO, TX 75093-8140
(214) 778-1075
(214) 778-1237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125051595
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
N6361
TX
207RP1001X
Pulmonary Disease Physician
N6361
TX
390200000X
Student in an Organized Health Care Education/Training Program
N6361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324459201
—
TX
01
—
794600
WELLCARE ID
TX
01
—
8DT440
BCBS
TX
Enumeration date
08/13/2007
Last updated
03/07/2023
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