NPI | 1104031996 |
---|---|
Entity Type | Organization |
Authorized Contact | VERNON MICHAEL LOVE Physician 580-353-5030 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 24537) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K8651) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2008-09-08 |