Provider Demographics
NPI:1417000571
Name:HOLDER, MICHAEL SHAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SHAWN
Last Name:HOLDER
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 1:4305 PINNACLE POINT DR.
Mailing Address - Street 2:SUITE #301
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211
Mailing Address - Country:US
Mailing Address - Phone:214-337-2100
Mailing Address - Fax:214-337-2108
Practice Address - Street 1:4305 PINNACLE POINT DR.
Practice Address - Street 2:SUITE #301
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211
Practice Address - Country:US
Practice Address - Phone:214-337-2100
Practice Address - Fax:214-337-2108
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor