| NPI | 1154694537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES LIVINGSTON Owner 918-743-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: OK 4209) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2014-05-19 |