| NPI | 1053862102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE E PORTER President / Owner 405-943-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 28957) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-04-14 |