NPI | 1437256831 |
---|---|
Doing Business As | TISHOMINGO FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | TIM PAUL WIGINGTON Owner, Administrator 580-371-2394 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37d0472003) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-05-07 |