Provider Demographics
NPI:1477714954
Name:A HOLISTIC YOU
Entity Type:Organization
Organization Name:A HOLISTIC YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PLESHETTE
Authorized Official - Middle Name:BOUVIER
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-412-7483
Mailing Address - Street 1:9330 BROADWAY ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7891
Mailing Address - Country:US
Mailing Address - Phone:281-412-7483
Mailing Address - Fax:
Practice Address - Street 1:9330 BROADWAY ST
Practice Address - Street 2:SUITE 410
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7891
Practice Address - Country:US
Practice Address - Phone:281-412-7483
Practice Address - Fax:281-412-7484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9316111NR0400X
TXK9516207Q00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty