| NPI | 1134416373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RENEE' WISE Business Administrator 580-233-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 2665) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2012-01-10 |