| NPI | 1881272656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT KEITH WRIGHT Owner/Administrator 405-546-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-09-18 |