| NPI | 1518232230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MORGAN President/Physician 918-459-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK 20128) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OK 20128) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |