| NPI | 1144471236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHRYN MACHADO Owner 405-303-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0073365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 3631) |
| 207Q00000X Family Medicine (Licence: OK 24484) | |
| 208600000X Surgery (Licence: OK 3189) | |
| 208D00000X General Practice (Licence: OK 2750) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2009-12-02 |