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 |