| NPI | 1891026902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER A LAJARA-NANSON Sole Member 918-338-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 25610) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |