| NPI | 1801062237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G MCKEEVER Owner 580-233-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OK 3026) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |