| NPI | 1932088440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA C. BAUSTERT Owner/Nurse Practitioner 405-216-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-09-09 |