| NPI | 1306956651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A COOPER Office Manager 580-332-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 10006) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |