Natalie A Holley, DC
Individual provider Active NPI Chiropractor · Mount Vernon, TX
NPI 1720173479 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720173479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5459 (TX)
- Practice address
- 110 Dallas St W
Mount Vernon, TX 75457-2336 - Phone
- (903) 537-2263
- Fax
- (903) 537-2338
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5459 | TX | Yes |
Addresses
Primary practice location
110 Dallas St W
Mount Vernon, TX 75457-2336
Mailing address
PO Box 69
Mount Vernon, TX 75457-0069
Phone (903) 537-2263
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06035627 | Medicaid | TX |
Other providers in Mount Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.