| NPI | 1811227911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAZIR S AHMAD Owner 405-235-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 12416) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |