Provider Demographics
NPI:1043841018
Name:HOLGUIN, NANCY (DOCTOR CHIROPRACTIC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:HOLGUIN
Suffix:
Gender:F
Credentials:DOCTOR CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 BAGBY AVE APT 602
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76711-0022
Mailing Address - Country:US
Mailing Address - Phone:432-978-3409
Mailing Address - Fax:
Practice Address - Street 1:4900 BAGBY AVE APT 602
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76711-0022
Practice Address - Country:US
Practice Address - Phone:432-978-3409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor