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Contact Information

TEXOMA PAIN MANAGEMENT SPECIALIST PLLC
1400 BRYAN DR
STE 306
DURANT, OK74701-2156
 Phone: 972-837-6196
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for TEXOMA PAIN MANAGEMENT SPECIALIST PLLC · (Female)

NPI Number 1275900763
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2015
Last updated 09/01/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 28562
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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