NPI | 1013386762 |
---|---|
Doing Business As | WELLCARE FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | MARGARET A LORIMOR Owner 405-282-3898 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 84764) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2015-10-21 |