| NPI | 1104018217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO EFRIAN BRAVO Owner 918-456-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 19440) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-20 |