| NPI | 1134420722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVENIA CAREY Clinical Operations Director 918-429-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2011-10-20 |