| NPI | 1881319127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIULLAH KUNDI Medical Director/Owner 405-408-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |