| NPI | 1013449040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE ERIN TINSLEY Physician 405-919-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 29992) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-08-08 |