| NPI | 1528373867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GENE CHASTAIN Owner 405-381-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OK 5944) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |