| NPI | 1275528085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS PHILLIPS Director Quality 918-295-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2023-08-24 |