| NPI | 1881780450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICO D GOMEZ CEO 405-789-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 2340) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-08-14 |