Dr. Hollis Wilson P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. HOLLIS WILSON P.C.

Doing business as

Central Texas Chiropractic & Rehab

Practice address

15300-B F.M. 1825
Suite 114
Pflugerville, TX 78660

Phone

(512) 989-7477

Fax

(512) 989-7478

NPI assigned

Apr 17, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hollis L Wilson, D.C.NPI 1780785691

Title

Ceo

Phone

(512) 989-7477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Texas Chiropractic & Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Hollis Leroy Wilson III, DC

  • Chiropractor
  • Pflugerville, TX
  • NPI 1780785691
  Medicare reassignment Care Compare group Authorized official
• Julie Ann Restall, DC

  • Chiropractor
  • Elgin, TX
  • NPI 1073614988
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1750507901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786910159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300-B F.M. 1825",
            "address_2": "SUITE 114",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "512-989-7477",
            "fax_number": "512-989-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HOLLIS WILSON P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-989-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0087NC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joni Renee Dillon, MS, CCC-SLP
• Kayla Dinh
• Clayton Everett Dockery, MA, LPC-A
• Brittney Dominguez, DPT
• Erin Ashlynn Dominguez, LCSW
• Dr. Ronnette P. Ballard, Licensed Psychologist (InSight Psychology and Behavioral Health Services)
• Dream Vein Clinic PLLC
• Hailey Wang Driscoll, MD
• Drug & Alcohol Testing Services of Austin, LLC
• Yunjie Du, MD

• Chiropractor in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.