| NPI | 1487433678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL GUNTER Owner 918-201-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |