| NPI | 1649204074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE NELSON Business Operations Manager 918-426-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-04-20 |