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Contact Information

PAIN CARE ASSOCIATES OF OKLAHOMA
6585 S YALE AVE
SUITE 1110
TULSA, OK74136-8384
 Phone: 918-502-7246
 Fax: 918-519-7250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PAIN CARE ASSOCIATES OF OKLAHOMA · (Female)

NPI # 1073600714
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2006
Last updated 08/27/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 16519
  • OK License # 25659
  • OK License # 4609
  • OK License # 538
  • OK Medicaid 200070240A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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