| NPI | 1225154396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY ELLIS Office Administrtor 580-223-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OK 1596) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-10-11 |