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Contact Information

INTERVENTIONAL SPINE SERVICES- II, LLC
1907 N BROADWAY AVE
OKLAHOMA CITY, OK73103-4407
 Phone: 405-702-7246
 Fax: 405-609-6679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL SPINE SERVICES- II, LLC

NPI # 1245730167
LBN Legal business name INTERVENTIONAL SPINE SERVICES- II, LLC
Authorized official EMILI RUIZ - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2018
Last updated 02/16/2018 - About 8 years ago
Identifiers
OK License # 24593
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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