| NPI | 1891962460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2017-05-02 |