| NPI | 1487837456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE DEAN SOMERVILLE Owner 405-755-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 10060) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2014-10-28 |