| NPI | 1720354202 |
|---|---|
| Doing Business As | FUNCTIONAL MEDICAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MICHELE L NEIL Owner 918-748-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 4105) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: TX 4105) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |