NPI | 1821506528 |
---|---|
Entity Type | Organization |
Authorized Contact | TREVOR NUTT CEO 405-546-4130 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2018-01-16 |
Last Update Date | 2021-06-28 |