| NPI | 1376709907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY A GODFREY Administrator 580-224-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0064) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |