NPI | 1811006455 |
---|---|
Doing Business As | DEACONESS FAMILY CARE WEST HEFNER |
Entity Type | Organization |
Authorized Contact | WADDAH N. NASSAR Owner 405-470-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-08-29 |
Last Update Date | 2012-03-07 |