| NPI | 1952477093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL W EMERSON Owner/President 580-889-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3521) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 1806) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-11-07 |