| NPI | 1124158704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SMITH Medical Director 405-475-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0036) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |