| NPI | 1619735222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY GRAY Owner 405-216-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2026-03-05 |