| NPI | 1518641836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BRAKEFIELD-PINO Ap RN Cnp 918-637-8629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |