Edward Lee Holt, DO, P.a.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

L8248 Issued in TX

Legal business name

EDWARD LEE HOLT, DO, P.A.

Practice address

1795 N Highway 77 Ste 103
Waxahachie, TX 75165-7876

Phone

(972) 937-1588

Fax

(972) 937-1274

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Edward Lee Holt, DO

Title

Physician

Phone

(972) 937-1588

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Edward Lee Holt, DO, P.a.

  • Obstetrics & Gynecology Physician
  • Waxahachie, TX
  • NPI 1194009357

  O20041014001155

  Same enrollment

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1609970003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 N HIGHWAY 77 STE 103",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657876",
            "telephone_number": "972-937-1588",
            "fax_number": "972-937-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 N HIGHWAY 77 STE 103",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657876",
            "telephone_number": "972-937-1588",
            "fax_number": "972-937-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 St Mark's Place",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "La Grange",
            "state": "TX",
            "postal_code": "78945",
            "country_code": "US",
            "telephone_number": "979-242-5051",
            "fax_number": "979-242-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARD LEE HOLT, DO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-937-1588",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "L8248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169071101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastland Memorial Hospital District (Legend Oaks Healthcare and Rehabilitation-Waxahachie)
• Amber Hanks Ebner, PA-C
• Demetria Danielle Polk Echols, M. ED
• Eclipse Clinic PLLC
• Edward Lee Holt, DO, P.a.
• Amy Lynn Edwards, PA-C
• Danielle Eichhorst
• Eirini Kai Agapi
• James Adair Elliott, DDS
• Ellis County Children's Advocacy Center (The Gingerbread House)

• Obstetrics Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Obstetrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.