| NPI | 1689843997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M GILBRETH Owner/Manager 580-252-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 19187) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2023-05-11 |