Organization
HOLLOWAY GROUP INC
Active
Organization
HOLLOWAY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIS HOLLOWAY, JR M.D. (OWNER/PRESIDENT)
(405) 603-8450
Entity
Organization
Contact information
Practice address
6613 N. MERIDIAN AVENUE, OKLAHOMA CITY, OK 73116
(405) 603-8450
(405) 603-8455
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(405) 603-8455
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200036310A
—
OK
Enumeration date
10/02/2006
Last updated
10/17/2023
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