NPI | 1770764466 |
---|---|
Entity Type | Organization |
Authorized Contact | WASIQ ALI ZAIDI President 405-473-7661 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX m7783) |
Additional Taxonomies | 101Y00000X Counselor |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-11-21 |
Last Update Date | 2009-07-02 |