| NPI | 1407899941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANELL S PULLEN Business Office Manager 580-622-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 2278) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |