Holt, Mark Walker

Holt, Mark Walker is an individual health care provider with primary practice located at 760 N Denton Tap Rd Suite 130, Coppell TX 75019-2163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holt, Mark Walker can be contacted via phone (972) 420-1475.

Contact Information

Primary practice address
760 N Denton Tap Rd Suite 130 Coppell TX 75019-2163
Fax: (214) 222-2435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F0517 Texas

Profile Details

NPI number 1346241528
LBN Legal business name Holt, Mark Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346241528 NPPES
Texas Other 81M641 BCBS
Texas MEDICAID 128828406 BCBS

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