| NPI | 1811548381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI VICK Owner/Operator 405-747-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-12-24 |