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 Clinic/Center (Licence: OK 20972) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2007-07-12 |