| NPI | 1699217703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY T NG Nurse Practitioner 405-615-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OK R060453) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2017-01-03 |