Justin Dan Holland, D.C.
Individual provider Active NPI Chiropractor · Comanche, TX
NPI 1366600603 · NPPES record last updated Aug 25, 2015
Key facts
- NPI
- 1366600603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10889 (TX)
- Practice address
- 910 N Austin St
Comanche, TX 76442-1735 - Phone
- (325) 356-5283
- Fax
- (325) 356-5284
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
910 N Austin
Comanche, TX 76442-1735
910 N Austin St
Comanche, TX 76442-1735
Phone (325) 356-5283
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080930000822 | TX | Practitioner - Chiropractic | 0042388233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10889 | TX | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Chiropractic Clinic, Inc | Chiropractor | Current |
Accepting new patients |
| Holland Chiropractic Clinic | Chiropractor | Past |
Accepting new patients |
Locations
910 N Austin St
Comanche, TX 76442
Phone (325) 356-5283
1359 W South Loop
Ste B
Stephenville, TX 76401
Phone (254) 968-2726
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10889 | TX | Yes |
Addresses
Primary practice location
910 N Austin St
Comanche, TX 76442-1735
Mailing address
910 N Austin St
Comanche, TX 76442-1735
Phone (325) 356-5283
Other providers in Comanche, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.