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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

NPI Number 1073600714
LBN Legal business name PAIN CARE ASSOCIATES OF OKLAHOMA
Authorized official STEPHEN LESTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 08/27/2009 - About 17 years ago
Identifiers
OK License # 16519
OK License # 25659
OK License # 4609
OK License # 538
OK Medicaid 200070240A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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