Provider Demographics
NPI:1538333661
Name:TOTAL PERFORMANCE, LLC
Entity type:Organization
Organization Name:TOTAL PERFORMANCE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:HOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:469-544-4571
Mailing Address - Street 1:401 SOUTHWEST PLZ
Mailing Address - Street 2:#103
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-4440
Mailing Address - Country:US
Mailing Address - Phone:817-561-4907
Mailing Address - Fax:817-561-6740
Practice Address - Street 1:401 SOUTHWEST PLZ
Practice Address - Street 2:#103
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-4440
Practice Address - Country:US
Practice Address - Phone:817-561-4907
Practice Address - Fax:817-561-6740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty