Individual
DR. OLAYINKA OMOWUNMI HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 JACAMAN RD STE 102, LAREDO, TX 78041-6225
(956) 568-9657
(956) 568-9659
Mailing address
1405 JACAMAN RD STE 102, LAREDO, TX 78041-6225
(956) 568-9657
(956) 568-9659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P1765
TX
207RN0300X
Nephrology Physician
Primary
P1765
TX
208M00000X
Hospitalist Physician
P1765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333074801
—
TX
01
—
8ED520
BC/BS
TX
Enumeration date
09/23/2011
Last updated
09/10/2019
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