| NPI | 1649518564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL JUSTIZ Owner 405-657-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 27480) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2014-05-21 |