| NPI | 1043433501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EUGENE HALL Physician 580-762-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 2141) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |