Organization
ORTHO PLUS HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT KEITH HOLLIMAN PA (MANAGER / OWNER)
(405) 227-1280
Entity
Organization
Contact information
Practice address
12301 S WESTERN AVE STE A3, OKLAHOMA CITY, OK 73170-6085
(405) 676-8643
(405) 676-8644
Mailing address
301 LILAC DR STE 140, EDMOND, OK 73034-7288
(405) 676-8643
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200810750C
—
OK
Enumeration date
09/20/2021
Last updated
04/25/2024
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