| NPI | 1629024161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM HYDE Manager 405-272-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0054) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-11-15 |