Dr John Robert Holt, DDS is a
Dentist - Dentist Anesthesiologist physician based in Lubbock, Texas. Dr John Robert Holt is licensed to practice in Texas (license number 15567) and his current practice location is 2309 York Ave, Lubbock, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 783-0520.
NPI number for Dr John Robert Holt is 1336125384 and his current mailing address is 2309 York Ave, Lubbock, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336125384.
Physician's Profile
| Full Name | Dr John Robert Holt |
|---|
| Gender | Male |
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| Speciality | Dentist - Dentist Anesthesiologist |
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| Location | 2309 York Ave, Lubbock, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336125384
- Provider Enumeration Date: 12/21/2005
- Last Update Date: 11/19/2013
Medical Identifiers
Medical identifiers for Dr John Robert Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336125384 | NPI | - | NPPES |
| 0902165 | Medicaid | TX | |
| 75-2277547 | Other | TX | FEDERAL TAX ID |
| K53H | Other | TX | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 15567 (Texas) | Secondary |
| 1223D0004X | Dentist - Dentist Anesthesiologist | 15567 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Robert Holt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Robert Holt, DDS
2309 York Ave,
Lubbock, TX 79407-2286
Ph: (806) 783-0520 | Dr John Robert Holt, DDS
2309 York Ave,
Lubbock, TX 79407-2286
Ph: (806) 783-0520 |
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