| NPI | 1215344858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY A MAYFIELD Provider Owner 580-225-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 85992) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |