| NPI | 1528304060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVONDRA LOVE OWENS Chief Financial Officer 405-733-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 25993) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-02-08 |