| NPI | 1063296937 |
|---|---|
| Former Legal Business Name | 401 MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NANCY E. DENTON Owner/ Ap RN 918-316-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-24 |