| NPI | 1093878381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR HOLY Owner 405-422-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 20362) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 20362) |
| 208600000X Surgery (Licence: OK 20362) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |