| NPI | 1497909501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW C GIN Owner 405-682-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 11482) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2012-10-26 |