| NPI | 1114952025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE J ARVIEUX Administrator 405-463-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0079) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-11-19 |