| 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 |