Provider Demographics
NPI:1831739804
Name:DAVID CARL BELCHER HOLISTIC
Entity type:Organization
Organization Name:DAVID CARL BELCHER HOLISTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:325-676-8963
Mailing Address - Street 1:100 CHESTNUT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-1440
Mailing Address - Country:US
Mailing Address - Phone:325-676-8963
Mailing Address - Fax:
Practice Address - Street 1:100 CHESTNUT ST STE 101
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1440
Practice Address - Country:US
Practice Address - Phone:325-676-8963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health