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Individual

EDWARD LEE HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

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
207V00000X
Obstetrics & Gynecology Physician
Primary
L8248
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
169073701
TX
Enumeration date
07/20/2006
Last updated
01/12/2021
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