Provider Demographics
NPI:1891945812
Name:AMY HOLMES MEDICAL SERVICES PLC
Entity Type:Organization
Organization Name:AMY HOLMES MEDICAL SERVICES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-395-2800
Mailing Address - Street 1:102 E CHEROKEE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73759-1210
Mailing Address - Country:US
Mailing Address - Phone:580-395-2800
Mailing Address - Fax:580-395-2099
Practice Address - Street 1:102 E CHEROKEE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OK
Practice Address - Zip Code:73759-1210
Practice Address - Country:US
Practice Address - Phone:580-395-2800
Practice Address - Fax:580-395-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty