Provider Demographics
NPI:1790297554
Name:HOLDERFIELD, PAUL PHILLIP III (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:PHILLIP
Last Name:HOLDERFIELD
Suffix:III
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 1:108 N PINE ST APT B
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-5700
Mailing Address - Country:US
Mailing Address - Phone:501-350-4154
Mailing Address - Fax:
Practice Address - Street 1:14300 CANTRELL RD STE 10
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4216
Practice Address - Country:US
Practice Address - Phone:501-367-5184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor