| NPI | 1780949313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANTHONY WOODARD Manager/ Co Owner 918-425-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 21966) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |