NPI | 1992224349 |
---|---|
Entity Type | Organization |
Authorized Contact | VISHAL AGGARWAL Member 918-742-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2017-09-18 |
Last Update Date | 2020-06-10 |