Oklahoma Pain Management Pllc in Oklahoma City - Specialist

Oklahoma Pain Management Pllc - NPI 1679760912

Oklahoma Pain Management Pllc is a Specialist in Oklahoma City, Oklahoma. Oklahoma Pain Management Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Oklahoma Pain Management Pllc is 1679760912. The last update date is 2022-05-03.

Oklahoma Pain Management Pllc's current location address is Po Box 108835, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057759350. The mailing address for Oklahoma Pain Management Pllc is Po Box 108835, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oklahoma Pain Management Pllc
Address Po Box 108835, Oklahoma City, Oklahoma
Phone Number 4057759350
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Porter Ross Justin
Telephone Number 4053604705

NPI Number Detail

NPI Number 1679760912
Provider Enumeration Date 2007-10-01
Last Updated Date 2022-05-03

Provider Mailing Address Detail

Address Po Box 108835
City Oklahoma City
State Oklahoma (OK)
Post Code 731018835
Phone Number 4057759350
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200123080A OK --
DG6361 OK MEDICARE RR

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FAQs about Oklahoma Pain Management Pllc

What is the Oklahoma Pain Management Pllc's 1679760912?

The Oklahoma Pain Management Pllc's NPI (National Provider Identifier) Number is 1679760912. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Oklahoma Pain Management Pllc is physically located?

The Oklahoma Pain Management Pllc is physically situated at the following address: Po Box 108835, Oklahoma City, OK, 731018835.

What is Oklahoma Pain Management Pllc's area of expertise and its corresponding taxonomy classification?

The Oklahoma Pain Management Pllc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

When did Oklahoma Pain Management Pllc receive its 1679760912 assignment?

The Oklahoma Pain Management Pllc was assigned its 1679760912 on 2007-10-01, which is the date when this unique identifier was issued to the organization.

When was the information related to Oklahoma Pain Management Pllc most recently updated or refreshed?

The details pertaining to the Oklahoma Pain Management Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-03.

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