| NPI | 1720480080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RUSSEL WILLIAMS Managing Partner 580-280-4644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK PA674) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |