| NPI | 1295977064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL ALLEN MOORE President/Medical Director 405-708-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 03777) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2012-03-28 |