| NPI | 1649715889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERITY DAWN BURROWS Owner/Provider 844-266-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 187271309) |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |