NPI | 1134483928 |
---|---|
Entity Type | Organization |
Authorized Contact | MELODY HOUK Practice Administrator 918-747-0568 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 4750) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2012-08-24 |