| NPI | 1275882086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA PARKS Director Of Health Services Ops 918-587-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2021-09-23 |