| NPI | 1831115088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESH MOVVA Owner 918-502-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: OK 20519) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-04-22 |