| NPI | 1740308147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J BANKSTON Business Manager 405-755-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OK 19842) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-05-21 |