| NPI | 1558513838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE VIRGIL GREGORY General Manager 918-607-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 2684) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2009-04-07 |