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Contact Information

OKLAHOMA CHRONIC PAIN SPECIALISTS, PLLC
10124 S SHERIDAN RD STE B
TULSA, OK74133-6742
 Phone: 774-473-9119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for OKLAHOMA CHRONIC PAIN SPECIALISTS, PLLC

NPI # 1184152001
LBN Legal business name OKLAHOMA CHRONIC PAIN SPECIALISTS, PLLC
Authorized official EMAD ATTALLAH-WASIF - (OWNER AND PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2017
Last updated 07/07/2017 - About 9 years ago
Identifiers
OK License # 31431
OK Medicaid 200593270A
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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