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 |