Provider Demographics
NPI:1861581027
Name:HOLLIER, GREGORY L (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:L
Last Name:HOLLIER
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 1:4820 TIWN CITY HWY
Mailing Address - Street 2:
Mailing Address - City:GROVES
Mailing Address - State:TX
Mailing Address - Zip Code:77619
Mailing Address - Country:US
Mailing Address - Phone:409-962-2221
Mailing Address - Fax:409-962-6362
Practice Address - Street 1:4820 TIWN CITY HWY
Practice Address - Street 2:
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619
Practice Address - Country:US
Practice Address - Phone:409-962-2221
Practice Address - Fax:409-962-6362
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088413201Medicaid
TX40557883OtherCIGNA
TX1023847OtherAETNA
TX603303Medicare ID - Type Unspecified