| NPI | 1801412937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA AH LOY General Counsel 405-516-0276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |