| NPI | 1346308863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L. TRUSSELL Administrator 405-280-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0038) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-11-05 |