| NPI | 1740216993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK L HUBBARD Owner 918-225-6904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0082) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |