| NPI | 1407989270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY BHARGAVA Owner 580-357-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 15054) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OK 15053) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |