| NPI | 1528408523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDALLAH S DAWOD M.D. 580-379-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 24330) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-04-19 |