| NPI | 1003149741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH NEAL Credentialing Coordinator 405-947-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2010-01-26 |