| NPI | 1760848444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART W SCHRADER Managing Member 405-418-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3883) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 20170) |
| 207Q00000X Family Medicine (Licence: OK 23229) | |
| 207Q00000X Family Medicine (Licence: OK 3770) | |
| 207R00000X Internal Medicine (Licence: OK 3883) | |
| 208000000X Pediatrics (Licence: OK 3883) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-27 |