| NPI | 1184674392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY RENEA BAKER Owner/Nurse Practitioner 580-323-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK R0057523) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |