| NPI | 1639618556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA K REED Provider/CEO 918-247-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 77550) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OK 77550) |
| 305R00000X Preferred Provider Organization (Licence: OK 77550) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-04-02 |