NPI | 1255522306 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS W. BRANT Owner 405-789-2441 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK 9222) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2020-08-31 |