| NPI | 1265907885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORBIN MANKIN Administrator 405-285-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-08-27 |