Provider Demographics
NPI:1356878672
Name:HOLT, GREGORY ALAN (PHD, DABSM)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALAN
Last Name:HOLT
Suffix:
Gender:M
Credentials:PHD, DABSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12830 MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3902
Mailing Address - Country:US
Mailing Address - Phone:713-349-9008
Mailing Address - Fax:713-218-0774
Practice Address - Street 1:12830 MURPHY RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3902
Practice Address - Country:US
Practice Address - Phone:713-349-9008
Practice Address - Fax:713-218-0774
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
173F00000X
FL173F00000X
TXRCP02001174227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Yes173F00000XOther Service ProvidersSleep Specialist, PhD