| NPI | 1457331175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER H HUGHES Administrator 580-223-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 19096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 12645) |
| 207R00000X Internal Medicine (Licence: OK 14797) | |
| 208600000X Surgery (Licence: OK 8543) | |
| 363L00000X Nurse Practitioner (Licence: OK r0030962) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-09-11 |