| NPI | 1275916744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY D NICHOLSON Owner/ Provider 918-553-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 0067311) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-03-29 |