Organization Name: | VITAL SYSTEMS OF OKLAHOMA INC |
NPI Number: | 1205901964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONI ANSON (BUSINESS MNGR) |
Mailing Address: | 1106 E State Highway 152 Suite 2 Mustang |
State: | OK US |
Postal Code: | 730645133 |
Phone Number: | 4053769980 |
Fax Number: | 4053769981 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | 7470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |