Provider Demographics
NPI:1144319286
Name:HELMS, HOLLIS R (DC)
Entity type:Individual
Prefix:
First Name:HOLLIS
Middle Name:R
Last Name:HELMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 700867
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0867
Mailing Address - Country:US
Mailing Address - Phone:210-490-3555
Mailing Address - Fax:210-490-3577
Practice Address - Street 1:2235 THOUSAND OAKS #111
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232
Practice Address - Country:US
Practice Address - Phone:210-490-3555
Practice Address - Fax:210-490-3577
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4453111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88220YOtherBCBS
177994700OtherUS TREAS WORK COMP
T13773Medicare UPIN
TX88220YOtherBCBS