| NPI | 1962880062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SILVA CEO 918-587-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-07-24 |