| NPI | 1124152962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROGERS Executive Director 405-447-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-03-16 |