| NPI | 1356424865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY MCADAMS Superintendent 580-564-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 251K00000X) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |