| NPI | 1497761159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN HERNDON Billing Director 405-557-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-10-22 |