| Michael A Holloway, DC | |
|
7109 Blanco Rd, San Antonio, TX 78216-5022 | |
| (210) 525-8550 | |
| (210) 525-8575 |
| Full Name | Michael A Holloway |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 7109 Blanco Rd, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023174497 | NPI | - | NPPES |
| 8F7860 | Other | TX | BCBSTX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 9166 (Texas) | Primary |
| Provider Name | Holloway Chiropractic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134301278 PECOS PAC ID: 6507013182 Enrollment ID: O20120904000784 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Holloway, DC 7109 Blanco Rd, San Antonio, TX 78216-5022 Ph: (210) 525-8550 | Michael A Holloway, DC 7109 Blanco Rd, San Antonio, TX 78216-5022 Ph: (210) 525-8550 |
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