| NPI | 1992033500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ENLOE CFO 405-752-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2018-10-16 |