| 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 |