| NPI | 1548777188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABETHA BROWN Ap RN 918-649-0069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK R0100665) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: OK R0100665) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2023-09-26 |