| NPI | 1437456225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY Q. TAN President 405-319-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 19992) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |