| NPI | 1235966870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASINA JOHNSON Family Nurse Practitioner 405-973-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-10-08 |