| NPI | 1194741249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY HOOVER Owner 405-216-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 21239) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-08-01 |