| NPI | 1700033552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHAD OWENS Physician 580-234-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 4609) |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2011-11-07 |