| NPI | 1144363094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH BHARANI President 918-455-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OK 12973) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |