| NPI | 1922079896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J KEITH TROOP President 580-224-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OK 0064) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |