| NPI | 1689424079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE MARIE KRAFT CEO 405-633-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 207Q00000X Family Medicine | |
| 261Q00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |