| NPI | 1184049975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE GOLD CEO 405-606-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-06-09 |