| 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 |