| NPI | 1811321102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BEISTLE SCHROEDER Family Nurse Practitioner 918-518-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK R00035175) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-12-11 |