| NPI | 1306827464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE LEE Executive Director 405-604-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0050) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |