| NPI | 1063822633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN TEDESCO Owner/Physician 405-936-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 25729) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |