| NPI | 1669506507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE M VINSON Insurance Coordinator 405-928-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 18183) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-01-28 |