| NPI | 1477097699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETITIA L JACKSON Nurse Practitioner / Owner 405-238-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |