| NPI | 1740664580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DAWN MORRIS Office Adminstrator 580-774-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0092194) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 817) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |