Gregory L Hollier, DC
Individual provider Active NPI Chiropractor · Groves, TX
NPI 1861581027 · NPPES record last updated Dec 9, 2009
Key facts
- NPI
- 1861581027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5563 (TX)
- Practice address
- 4820 Tiwn City Hwy
Groves, TX 77619 - Phone
- (409) 962-2221
- Fax
- (409) 962-6362
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5563 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.T. Johnson Chiropractic and Wellness Center LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5563 | TX | Yes |
Addresses
Primary practice location
4820 Tiwn City Hwy
Groves, TX 77619
Mailing address
4820 Tiwn City Hwy
Groves, TX 77619
Phone (409) 962-2221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088413201 | Medicaid | TX | |
| 40557883 | Other | TX | CIGNA |
| 1023847 | Other | TX | AETNA |
Other providers in Groves, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2009. 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.