| NPI | 1003800798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY MILLS Administrator 405-732-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OK 0025) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-04-10 |