| NPI | 1760906127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HICKS Registered Dietitian 580-354-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2010) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2019-12-17 |