| NPI | 1225507262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL MORRIS COO 918-527-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2019-09-03 |