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Contact Information

SOONER PAIN CLINIC, LLC
5509 MAIN ST
SUITE 100
DEL CITY, OK73115-5510
 Phone: 405-604-0901
 Fax: 405-604-0902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for SOONER PAIN CLINIC, LLC

NPI # 1164893228
LBN Legal business name SOONER PAIN CLINIC, LLC
Authorized official GEORGE DAWSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2015
Last updated 12/09/2015 - About 10 years ago
Identifiers
OK License # 18162
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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