| NPI | 1972822534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA BROYLES Contracting Coordinator 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 |