| NPI | 1952852345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA GRUS VP Managed Care Contracting 405-697-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130329) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2018-01-19 |