| NPI | 1922356310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX THEODORIDIS President 405-570-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 208D00000X General Practice |
| 235Z00000X Speech-Language Pathologist, | |
| 247100000X Radiologic Technologist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2017-08-15 |