| NPI | 1740837889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADWICK ROSS Medical Director 405-317-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |