| NPI | 1265065361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FORD CEO 405-605-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 207Q00000X Family Medicine | |
| 251S00000X | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-06-21 |