| NPI | 1184895252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI AGARWAL Member 888-599-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 23998) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |