| NPI | 1205822392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI L YATES Credentialing Manager 580-272-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 3587) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2011-01-13 |