Provider Demographics
NPI:1922009687
Name:HOLT, TODD MILES (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:MILES
Last Name:HOLT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 GESSNER RD.
Mailing Address - Street 2:SUITE 2225
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2501
Mailing Address - Country:US
Mailing Address - Phone:713-365-2900
Mailing Address - Fax:713-984-6525
Practice Address - Street 1:929 GESSNER RD.
Practice Address - Street 2:SUITE 2225
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2501
Practice Address - Country:US
Practice Address - Phone:713-365-2900
Practice Address - Fax:713-984-6525
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0757207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology