Provider Demographics
NPI:1477792240
Name:BRITT HOLDINGS LLC
Entity Type:Organization
Organization Name:BRITT HOLDINGS LLC
Other - Org Name:BREWER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DC
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-467-2010
Mailing Address - Street 1:702 IH 20 WEST
Mailing Address - Street 2:STE 100
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5854
Mailing Address - Country:US
Mailing Address - Phone:817-467-2010
Mailing Address - Fax:817-465-0476
Practice Address - Street 1:702 IH WEST
Practice Address - Street 2:STE 100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5854
Practice Address - Country:US
Practice Address - Phone:817-467-2010
Practice Address - Fax:817-465-0476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10979111N00000X
208D00000X, 225100000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A3821Medicare PIN