| NPI | 1578743993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MONROE LAWRENCE Medical Doctor 580-774-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 14150) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |