| NPI | 1467972729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY JO SCHWARZ Office Manager 405-945-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OK 3760) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |