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EDWARD LEE HOLT DO P.A. NPI 1609970003


NPI Information

NPI: 1609970003
Provider Name: EDWARD LEE HOLT, DO, P.A.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 45D2036082

Address:
1795 N HIGHWAY 77 STE 103
WAXAHACHIE, TX
ZIP 75165
Phone: (972) 937-1588
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EDWARD LEE HOLT, DO, P.A. is an obstetrics obstetrics gynecology in Waxahachie, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee EDWARD LEE HOLT, DO, P.A. NPI is 1609970003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1795 N HIGHWAY 77 STE 103
WAXAHACHIE, TX
ZIP 75165-876
Phone: (972) 937-1588
Fax: (972) 937-1274

The provider's authorized official is Edward Lee Holt .
The authorized official title is Physician and has the following contact phone number (972) 937-1588.

The CLIA number assigned to this NPI record is 45D2036082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 1/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsL8248TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1169071101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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