| NPI | 1154719169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRONWYN L. HOWARD Owner/Operator 918-950-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK R0052024) |
| Enumeration Date | 2014-12-27 |
| Last Update Date | 2015-12-18 |