| NPI | 1669874228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L RHODES Clinic Manager 405-470-6900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: OK 102310) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2018-03-16 |