| NPI | 1609005842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAHYA M. AHMAD Owner 918-458-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OK 23648) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |