| NPI | 1154753614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M PENWELL Com/Medical Director 405-600-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OK 3873) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-07 |