Individual
HOLTON LOUIS FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL STUDENT
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 582-1972
Mailing address
8823 S 72ND EAST AVE, TULSA, OK 74133-4806
(918) 629-7287
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
05/10/2024
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