| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1831483130 | BOSWELL | THOMAS | S | 3212 SW 89TH ST | OKLAHOMA CITY | OK | 731597957 | |
| 1033180484 | KING | EDWIN | KIM | 3212 SW 89TH | OKLAHOMA CITY | OK | 731597907 | |
| 1295990950 | KIRSCH | LEE | ALAN | 3212 SW 89TH ST. | OKLAHOMA CITY | OK | 73159 | |
| 1518939792 | MOORE | TIMOTHY | L | 3212 SW 89TH ST | OKLAHOMA CITY | OK | 731597956 |