| NPI | 1992945695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA JACKSON Administrator 918-567-7054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: OK 704) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |