SOUTH TULSA PAIN MANAGEMENT LLC.; NPI #1255821005

Contact Information

SOUTH TULSA PAIN MANAGEMENT LLC.

12345 S MEMORIAL DR STE 106
BIXBY, OK 74008

Phone: 918-520-9692
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management

Indicates primary specialty

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NPI Profile & details for SOUTH TULSA PAIN MANAGEMENT LLC.

NPI Number	`1255821005`
LBN Legal business name	SOUTH TULSA PAIN MANAGEMENT LLC.
Authorized official	JAMES JOLLEY - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/17/2018
Last updated	09/06/2018 - 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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