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 |