| NPI | 1679825905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SHANE O'NEAL President 405-659-6732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 4544) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |