| NPI | 1033922034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN LOPEZ Owner 405-862-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |