Mark Walker Holt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

F0517 Issued in TX

Practice address

760 N Denton Tap Rd
Suite 130
Coppell, TX 75019-2163

Phone

(972) 420-1475

Fax

(214) 222-2435

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MD Pediatric Associates, P.a.

  • Pediatrics Physician
  • Coppell, TX
  • NPI 1013922731
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1346241528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198429",
            "telephone_number": "972-420-1475",
            "fax_number": "214-222-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N DENTON TAP RD",
            "address_2": "SUITE 130",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192163",
            "telephone_number": "972-420-1475",
            "fax_number": "214-222-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MARK",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F0517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81M641",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128828406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Renee Hines, LCSW
• Chalon Hollas, CRNA
• Mary Holmes
• Patricia Holmes, DDS
• Andrew Holovnia
• Soomin Hong, D.D.S, M.S.D.
• Janna Leigh Horner, LPC
• Katelyn Cierra Howard, PT, DPT
• Kaylyn Howard, PHARMD
• Nicole Ann Howell, RN, FNP-C

• Pediatrics Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.