| NPI | 1962621334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS TALLBEAR COO Rdinator 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 | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |