| NPI | 1740084706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARWIN GRIFFETH COO 918-592-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-07-28 |