| NPI | 1982701199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R TRINIDAD President 918-742-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 207R00000X) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |