Individual
JEAN EDWARDS HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 E SONTERRA BLVD, SUITE 100, SAN ANTONIO, TX 78258-4054
(210) 490-6759
(210) 490-6507
Mailing address
325 E SONTERRA BLVD, SUITE 100, SAN ANTONIO, TX 78258-4054
(210) 490-6759
(210) 490-6507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F2714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114673002
—
TX
01
—
180014260
MEDICARE RAILROAD PIN
TX
Enumeration date
04/05/2006
Last updated
02/29/2008
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