| NPI | 1093983520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE MATLOCK Business Office Director 580-772-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: OK 2219) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2009-07-23 |