NPI | 1457582280 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH CHYLENE DELARRE Owner/President 405-292-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OK 4156) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2009-07-28 |