| NPI | 1811527518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR HUSSAIN Member 918-392-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2022-09-26 |