Doctor Name: | JASON M HOLMES |
NPI Number: | 1801999727 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2301009232 |
Business Practice Address: | 2612 N Main St Vidor, TX - 776622674 |
Business Phone Number: | 4097693897 |
Business Fax Number: | 4097839758 |
Mailing Address: | 1085 Longleaf St, VIDOR |
State: | TX |
Postal Code: | 776626502 |
Phone Number: | 4094224519 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301009232 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |