| NPI | 1063816361 |
|---|---|
| Doing Business As | WILDHORSE PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE L CARDIN CEO 918-721-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 27462) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |