| NPI | 1972269033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD BURGESS CEO 405-246-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2024-08-05 |