Provider Demographics
NPI:1134227978
Name:HOLM, PETER C (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:C
Last Name:HOLM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12700 HILLCREST RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2033
Mailing Address - Country:US
Mailing Address - Phone:214-478-5334
Mailing Address - Fax:214-691-5380
Practice Address - Street 1:12700 HILLCREST RD
Practice Address - Street 2:SUITE 212
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2033
Practice Address - Country:US
Practice Address - Phone:214-478-5334
Practice Address - Fax:214-691-5380
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH44172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry