| NPI | 1043835309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYEN H PATEL Member 918-935-3240 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |