| NPI | 1164478764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA WILLIAMS Administrator 580-351-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0030) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-03-27 |