NPI | 1164698411 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY E NIPPER Doctor 580-762-7551 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OK 1048) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |