| NPI | 1811187800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDIE BETH GRATZ Owner 580-371-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 7588) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: OK R0067529) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-03-17 |