Basic Information
| Provider Information | |||||||||
| NPI: | 1053409318 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLT | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | GUN-WHA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1302 MILFORD ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770066318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8596080418 | ||||||||
| FaxNumber: | 8592579287 | ||||||||
| Practice Location | |||||||||
| Address1: | 6400 FANNIN ST STE 1400 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770301512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137045968 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2006 | ||||||||
| LastUpdateDate: | 10/24/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 38972 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0100X | 38972 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207RG0100X | T7947 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.