Provider Demographics
NPI:1548319601
Name:HOLCK, DAVID EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EDWARD
Last Name:HOLCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 592329
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0166
Mailing Address - Country:US
Mailing Address - Phone:210-495-2367
Mailing Address - Fax:210-495-0155
Practice Address - Street 1:1314 E SONTERRA BLVD STE 5104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4289
Practice Address - Country:US
Practice Address - Phone:210-495-2367
Practice Address - Fax:210-495-0155
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN3735207WX0200X
NC9300153207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology