| NPI | 1669989166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GONZALEZ Owner 918-492-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OK 19558) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-08 |