| NPI | 1902437346 |
|---|---|
| Other Name | ENID LIVE WELL |
| Entity Type | Organization |
| Authorized Contact | VIKI SHARLAIN WHITE CEO 580-233-4300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0900X Dermatology, Dermatopathology | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-11-11 |