| NPI | 1235477548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIEUHAN THERESA TRAN Physician Assistant 405-604-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK APA2216) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |