| NPI | 1427455542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY ARIANA Regional Director Of Operations 918-625-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 6209) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2017-02-22 |