| NPI | 1942276498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY S MOONEY Administrator 918-331-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0069) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2013-03-25 |