| NPI | 1144666769 |
|---|---|
| Doing Business As | VARIETY CARE NORMAN PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | TIM REDDOUT CFO 405-632-6688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2020-02-26 |