| NPI | 1073789152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE SIDECO CHIOCO Psychiatrist 405-364-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 13316) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |