| NPI | 1083607360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E HEINBERG President 918-492-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0035) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |