| NPI | 1790880391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY-NORBERT O. NDEKWE Medical Director 580-581-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 21147 OK) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-08-28 |