| NPI | 1275061467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRASH ASGARI Owner 405-412-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |