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NPI Code Detail

MEDICARE: DR. TODD MILES HOLT MD

MEDICARE: DR. TODD MILES HOLT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianM0757TX

General Provider Information

NPI Number : 1922009687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD MILES HOLT MD
Provider Business Mailing Address
First Line : 929 GESSNER RD.
Second Line : SUITE 2225
City : HOUSTON
State : TX
Zip : 77024-2501
Country : US
Telephone Number : 713-365-2900
Fax Number : 713-984-6525
Provider Business Practice Location Address
First Line : 929 GESSNER RD.
Second Line : SUITE 2225
City : HOUSTON
State : TX
Zip : 77024-2501
Country : US
Telephone Number : 713-365-2900
Fax Number : 713-984-6525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 04/02/2024

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