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Organization

EDWARD LEE HOLT, DO, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD LEE HOLT DO (PHYSICIAN)
(972) 937-1588
Entity
Organization

Contact information

Practice address
1795 N HIGHWAY 77 STE 103, WAXAHACHIE, TX 75165-7876
(972) 937-1588
(972) 937-1274
Mailing address
1795 N HIGHWAY 77 STE 103, WAXAHACHIE, TX 75165-7876
(972) 937-1588
(972) 937-1274

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
L8248
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
169071101
TX
Enumeration date
09/07/2006
Last updated
01/21/2021
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