| NPI | 1528821584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL TAYLOR Chief Operating Officer 405-227-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |