NPI | 1962621334 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS TALLBEAR Coordinator 405-422-7681 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
332B00000X Durable Medical Equipment & Medical Supplies | |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |