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NPI Code Detail

MEDICARE: DR. PETER C. HOLM M.D.

MEDICARE:  DR. PETER C. HOLM  M.D.
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
12084P0800XPsychiatry PhysicianH4417TX

General Provider Information

NPI Number : 1134227978
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER C. HOLM M.D.
Provider Business Mailing Address
First Line : 12700 HILLCREST RD
Second Line : SUITE 212
City : DALLAS
State : TX
Zip : 75230-2033
Country : US
Telephone Number : 214-478-5334
Fax Number : 214-691-5380
Provider Business Practice Location Address
First Line : 12700 HILLCREST RD
Second Line : SUITE 212
City : DALLAS
State : TX
Zip : 75230-2033
Country : US
Telephone Number : 214-478-5334
Fax Number : 214-691-5380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/15/2026

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Directions to “ DR. PETER C. HOLM M.D.” Practice Location

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