Organization Active NPI

Bobby Mal Hollander, D.C. P.C.

Doing business as Hollander Chiropractic Clinic

  • Chiropractor
  • Odessa, TX
National Provider Identifier
1376625699
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9626 Issued in TX
Legal business name
BOBBY MAL HOLLANDER, D.C. P.C.
Doing business as
Hollander Chiropractic Clinic
Practice address
4100 Bonham Ave
Odessa, TX 79762-6204
Phone
(432) 363-8182
Fax
(432) 363-0952
NPI assigned
Oct 19, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bob M. Hollander, D.C.NPI 1255362554
Title
Owner
Phone
(432) 363-8182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 9626 TX Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2985 TX

Addresses

Primary practice location

4100 Bonham Ave
Odessa, TX 79762-6204

Mailing address

4100 Bonham Ave
Odessa, TX 79762-6204
Phone (432) 363-8182

Other names 1

  • Hollander Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4100 Bonham Ave
Odessa, TX 79762
Phone (432) 363-8182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376625699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BONHAM AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626204",
            "telephone_number": "432-363-8182",
            "fax_number": "432-363-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BONHAM AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626204",
            "telephone_number": "432-363-8182",
            "fax_number": "432-363-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY MAL HOLLANDER, D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-363-8182",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9626",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollander Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.