| NPI | 1891773727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK KHETPAL President 580-931-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 20426) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K5131) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2024-05-16 |