Provider Demographics
NPI:1841495421
Name:HEALTHFIRST CHIROPRACTIC PC
Entity type:Organization
Organization Name:HEALTHFIRST CHIROPRACTIC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-301-5996
Mailing Address - Street 1:6012 W WILLIAM CANNON DR STE A102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1976
Mailing Address - Country:US
Mailing Address - Phone:512-301-5996
Mailing Address - Fax:512-301-5692
Practice Address - Street 1:6012 W WILLIAM CANNON DR STE A102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1976
Practice Address - Country:US
Practice Address - Phone:512-301-5996
Practice Address - Fax:512-301-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2019-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0067PNOtherBLUE CROSS BLUE SHIELD
TX0067PNOtherBLUE CROSS BLUE SHIELD