| NPI | 1285825976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK B HOWARD Owner 580-436-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OK 8314) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |