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NPI Code Detail

MEDICARE: DEBORAH DEE HOLDER P.A.-C

MEDICARE: DEBORAH DEE HOLDER P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant660OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00997563OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093785321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH DEE HOLDER P.A.-C
Provider Business Mailing Address
First Line : 5900 MOSTELLER DR UNIT 3
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4640
Country : US
Telephone Number : 405-608-8808
Fax Number : 405-832-1089
Provider Business Practice Location Address
First Line : 5900 MOSTELLER DR UNIT 3
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4640
Country : US
Telephone Number : 405-608-8808
Fax Number : 405-832-1089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 08/21/2025

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