NPI | 1295773398 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD WAYNE HINES Owner Of Corporation 405-751-6152 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: OK 113) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2008-04-20 |