| NPI | 1043301070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE LEONARD CAREY Owner 918-481-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 14591) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OK 14591) |
| 207Q00000X Family Medicine (Licence: OK R0077732) | |
| 208000000X Pediatrics (Licence: OK 14591) | |
| 208000000X Pediatrics (Licence: OK 3626) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: OK 14591) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OK 14591) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OK 14591) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OK 6814) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-09-05 |