| NPI | 1831374115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDELL C GARLAND Office Manager 580-248-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 19134) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |