| NPI | 1992898209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L SHADID President Physician 918-747-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 2930) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 2930) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-12-02 |