| NPI | 1811875032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MARTIN Owner/Sole Member 918-825-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |