| NPI | 1659943157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA GRUS VP, Managed Care Contracting 405-697-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |