Brent Keith Holliman in Oklahoma City - Physician Assistant

Brent Keith Holliman - NPI 1447297296

Brent Keith Holliman is a Physician Assistant in Oklahoma City, Oklahoma. Brent Keith Holliman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brent Keith Holliman is 1447297296. The last update date is 2013-08-21.

Brent Keith Holliman's current location address is 4345 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059365814 and fax number 4059365810. The mailing address for Brent Keith Holliman is 4345 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Keith Holliman
Address 4345 W Memorial Rd, Oklahoma City, Oklahoma
Phone Number 4059365814
Fax Number 4059365810
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1447297296
Provider Enumeration Date 2006-06-01
Last Updated Date 2013-08-21

Provider Mailing Address Detail

Address 4345 W Memorial Rd
City Oklahoma City
State Oklahoma (OK)
Post Code 731341702
Phone Number 4059365814
Fax Number 4059365810

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA636
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Brent Keith Holliman

What is the unique 10-digit identification code issued to Brent Keith Holliman by the Centers for Medicare & Medicaid Services?

The Brent Keith Holliman has been assigned the NPI (National Provider Identifier) 1447297296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Brent Keith Holliman's facilities are situated?

The facilities of Brent Keith Holliman are physically located at the following address: 4345 W Memorial Rd, Oklahoma City, OK, 731341702.

What is Brent Keith Holliman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brent Keith Holliman's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1447297296 to Brent Keith Holliman?

The Centers for Medicare & Medicaid Services originally issued the 1447297296 to Brent Keith Holliman on 2006-06-01.

When was the information regarding Brent Keith Holliman most recently updated?

The details pertaining to the Brent Keith Holliman, including its address, specialty, and other relevant information, were last refreshed on 2013-08-21.

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