Provider Demographics
NPI:1023521556
Name:HOLT, KATHARINE MICHELE (PA)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:MICHELE
Last Name:HOLT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 679191
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-9191
Mailing Address - Country:US
Mailing Address - Phone:972-316-4555
Mailing Address - Fax:469-802-1548
Practice Address - Street 1:6000 W SPRING CREEK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3617
Practice Address - Country:US
Practice Address - Phone:972-316-4555
Practice Address - Fax:972-378-9996
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2025-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA11655363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant