| NPI | 1104901875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GENE PATZKOWSKY Physician 580-223-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 1222) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |