| NPI | 1093094310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN QUIAMBAO Psychiatrist 405-790-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 24708) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-09-28 |