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Contact Information

ADVANCE INVASIVE PAIN MANAGEMENT OF TULSA
5018 E 68TH ST
200
TULSA, OK74136-3367
 Phone: 918-925-9905
 Fax: 918-744-9729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for ADVANCE INVASIVE PAIN MANAGEMENT OF TULSA

NPI Number 1194138412
LBN Legal business name ADVANCE INVASIVE PAIN MANAGEMENT OF TULSA
Authorized official COLLEEN PAYNE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2014
Last updated 06/04/2014 - About 12 years ago
Identifiers
OK License # 14910
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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