| NPI | 1053561878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B. SMITH Owner/Physician 580-357-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 14133) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2009-05-20 |