| NPI | 1972822534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA BROYLES Contracting COO Rdinator 405-972-7239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology | |
| 208600000X Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2019-09-27 |