| NPI | 1497848147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS HOLLOWAY, JR Owner/President 405-603-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-10-17 |