| NPI | 1285086744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRINA FELICE BOURNE Owner / Physician 405-919-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 23458) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |