| NPI | 1609583046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON LEE FARMER CFO/COO 918-627-6846 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |