| NPI | 1356501019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWAUN MICHAEL LEWIS Owner 405-579-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 4092) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2010-09-28 |