| NPI | 1326095381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C CARTER Owner Physician 580-480-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 19154) |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-04-05 |