| NPI | 1366158701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HEDRICK Business Owner 405-535-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-02-15 |