| NPI | 1629247341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA K MOTWANI Owner 405-632-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 3478) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 3478) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2016-07-25 |