| NPI | 1346784683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA RENEE PARKS Practice Manager/Lpn 918-582-7711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 4168) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 3798) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |