Stacey Holder, MD

NPI #1891820353 in Longview, Texas

Provider Information

NPI Number: 1891820353
Entity Type: Individual
Name: Stacey Holder, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 23, 2007
Last Updated: Jan 23, 2012

Practice Location

Address: 5016 GILMER RD
City: Longview
State: Texas
ZIP Code: 75604-9666
Phone: (903) 553-0035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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