| NPI | 1922369701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETHA BHAVANI KANDIMALA President 580-919-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OK 26013) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-09-27 |