| NPI | 1881190833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENTHIL K RAJU Provider 405-391-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2022-03-17 |