| NPI | 1346580172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN K MARTIN President 918-671-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR MC-2931) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |