| NPI | 1487012100 |
|---|---|
| Doing Business As | PRIMARYCARE OF ADA |
| Entity Type | Organization |
| Authorized Contact | SHARI ROSS Owner 580-436-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |