| NPI | 1639994825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL CARTER Co Owner 405-821-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-02-20 |