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
Phone: (972) 420-1475
Fax: (214) 222-2435
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346241528 | NPPES |
| Texas | Other | 81M641 | BCBS |
| Texas | MEDICAID | 128828406 | BCBS |
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