| NPI | 1992739908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL PHILLIPS Directors Of Operation 405-601-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: OK 2427) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-12-14 |