| NPI | 1619374048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT M PATEL Owner 405-921-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CRNA0842) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-09-02 |