Organization
HOLMES CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK F HOLMES JR. DC (OWNER)
(580) 226-3555
Entity
Organization
Contact information
Practice address
36 TIFFANY PLAZA, ARDMORE, OK 73401-2534
(580) 226-3555
(580) 226-3703
Mailing address
36 TIFFANY PLAZA, ARDMORE, OK 73401-2534
(580) 226-3555
(580) 226-3703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1971
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073689162
PERSONAL NPI
—
Enumeration date
04/16/2007
Last updated
08/22/2020
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