| NPI | 1386980811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY KEITH SIMMONS Sole Practitioner 918-510-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 2902) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |