NPI | 1730453846 |
---|---|
Entity Type | Organization |
Authorized Contact | FRELYN LOUGHRIDGE President/CEO 580-319-5306 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 42852) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2012-03-07 |