| NPI | 1225194913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY LEE REYNOLDS Manager 580-931-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0062038) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2024-01-16 |