| NPI | 1588339543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SYLVESTER Medical Director 405-514-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |