| NPI | 1811103922 |
|---|---|
| Other Name | MUSTANG COMPLETE CARE |
| Entity Type | Organization |
| Authorized Contact | SYNOVIA F BAIN Client Account Administrator 405-231-3824 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4315) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-02-02 |