| NPI | 1861382095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH JOHNSON Owner, Nurse Practitioner 405-259-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-09-12 |