| NPI | 1881641355 |
|---|---|
| Doing Business As | EVIDENTCARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES AUSTIN BRYANT President 405-713-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OK 20972) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-07-12 |