| NPI | 1154783074 |
|---|---|
| Other Name | TOTAL HEALTH MEDICAL |
| Former Legal Business Name | TOTAL HEALTH MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT E GATES Managing Member 918-949-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-11-13 |