| NPI | 1124028675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KITT WAKELEY Owner/Partner 405-609-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 7648) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2009-06-03 |