| NPI | 1760239685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEEGAN CARTER Vice President Of Operations 405-618-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |