| NPI | 1053735035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B KRIS MULLINS Owner 405-306-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 19064) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-04-15 |