Healthcare Provider Details
I. General information
NPI: 1396262234
Provider Name (Legal Business Name): HPC HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2017
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 SW 104TH ST STE A
OKLAHOMA CITY OK
73139-3018
US
IV. Provider business mailing address
2600 DALLAS PKWY STE 290
FRISCO TX
75034-7493
US
V. Phone/Fax
- Phone: 405-759-3773
- Fax:
- Phone: 945-260-0010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICHOLAS
POAN
Title or Position: AO
Credential:
Phone: 945-260-0010