| NPI | 1043443930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H YARBOROUGH Medical Director 918-664-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 11837) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-27 |