| NPI | 1093312548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WHITE Md/Owner 405-822-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |