| NPI | 1205886793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BAKER Administrator 918-341-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0078) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |