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Contact Information

COVENANT PAIN MANAGEMENT CLINIC
7615 E 63RD PL STE 104
TULSA, OK74133-1231
 Phone: 918-307-0077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for COVENANT PAIN MANAGEMENT CLINIC

NPI # 1255810321
LBN Legal business name COVENANT PAIN MANAGEMENT CLINIC
Authorized official REBECCA NUNN - (CHIROPRACTIC)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2018
Last updated 08/09/2018 - About 8 years ago
Identifiers n/a
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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