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 |