| NPI | 1811022593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE A BILLINGSLEY Office Manager 405-495-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-03-01 |