Individual
DR. TAMARA JOY HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 N LEE AVE, ROOM 4404, OKLAHOMA CITY, OK 73102-1036
(405) 272-6406
(405) 272-6075
Mailing address
PO BOX 268922, OKLAHOMA CITY, OK 73126-8922
(405) 272-6406
(405) 272-6075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3958
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200043990A
—
OK
01
—
P00151817
RAILROAD MEDICARE
OK
Enumeration date
12/12/2005
Last updated
08/06/2013
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