| NPI | 1437195922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207N00000X Dermatology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 207U00000X Nuclear Medicine (Licence: OK 14498) | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2086S0129X Surgery, Vascular Surgery | |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-07-07 |