Individual
BOB M HOLLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3710 BLOSSOM LN, ODESSA, TX 79762-6965
(432) 349-3891
(214) 242-6712
Mailing address
3710 BLOSSOM LN, ODESSA, TX 79762-6965
(432) 349-3891
(214) 242-6712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2985
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407368AW8K
MEDICARE
TX
01
—
8X6921
BCBS PROVIDER I.D. ROCT
TX
Enumeration date
07/05/2006
Last updated
04/19/2018
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