| NPI | 1104344027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KAY JACKSON CEO 918-567-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2025-08-21 |