| NPI | 1922502194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUTHER BRANDON OAKES Physician/Owner 662-334-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: MS 22238) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-05-29 |