| NPI | 1669474573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA JO HARTSELL President 580-772-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0059923) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-08-22 |