Provider Demographics
NPI:1992765192
Name:HOLDAMPF, BARRY J (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:HOLDAMPF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 N MAIN ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1110
Mailing Address - Country:US
Mailing Address - Phone:254-939-1844
Mailing Address - Fax:254-939-1619
Practice Address - Street 1:2851 N MAIN ST
Practice Address - Street 2:SUITE #1
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-1110
Practice Address - Country:US
Practice Address - Phone:254-939-1844
Practice Address - Fax:254-939-1619
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6492207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AA948OtherBLUE SHIELD
TX8AA948OtherBLUE SHIELD