| NPI | 1144673112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LILIA PINA Nurse Practitioner 918-734-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 88067) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |