| NPI | 1144429945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD D JOHNSON Owner/President 580-338-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OK 3456) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-08-27 |