| NPI | 1265782338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES AARON HENLEY Owner 918-745-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OK 4195) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 4195) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |