Active NPI
Stuart Brooks Holifield III, D.C.
- Rehabilitation Chiropractor
- Houston, TX
National Provider Identifier
1770780785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 10657
- Practice address
- 1160 Blalock Rd
Houston, TX 77055-7421 - Phone
- (713) 468-1272
- Fax
- (179) 980-3905
- NPI assigned
- Jul 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 10657 | TX | Primary |
Addresses
Primary practice location
1160 Blalock Rd
Houston, TX 77055-7421
Mailing address
3910 Fairmont Pkwy # 321
Pasadena, TX 77504-3076
Phone (832) 264-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10657 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770780785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 FAIRMONT PKWY # 321",
"city": "PASADENA",
"state": "TX",
"postal_code": "775043076",
"telephone_number": "832-264-5425",
"fax_number": "713-468-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 BLALOCK RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770557421",
"telephone_number": "713-468-1272",
"fax_number": "179-980-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIFIELD",
"first_name": "STUART",
"middle_name": "BROOKS",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "10657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Marissa Holiday, DDS
- Nicki Nicole Holiday, RN
- Veronica Annette Holiday, BACHELOR OF SCIENCE
- Holiday's Family Medical Clinic
- Linda Marie Holifield, MSN, APRN
- Julie Lynn Holihan, M.D.
- Holistic Body Mind Healthcare, PLLC
- Holistic Body Mind Healthcare, PLLC
- Holistic Care EMS LLC
- Holistic Dermatology of Houston, PA (Integrative Dermatology Consultations)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.