| NPI | 1124762646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HULL COO 405-445-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2023-05-24 |