| NPI | 1497929400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EARL NELSON President 580-252-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 4125) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |