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SOONER PAIN CLINIC LLC NPI 1164893228


NPI Information

NPI: 1164893228
Provider Name: SOONER PAIN CLINIC, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
5509 MAIN ST
SUITE 100
DEL CITY, OK
ZIP 73115
Phone: (405) 604-0901
Get Directions

SOONER PAIN CLINIC, LLC is an interventional pain medicine pain medicine in Del City, OK. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SOONER PAIN CLINIC, LLC NPI is 1164893228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5509 MAIN ST
SUITE 100
DEL CITY, OK
ZIP 73115-510
Phone: (405) 604-0901
Fax: (405) 604-0902

The provider's authorized official is George B Dawson .
The authorized official title is Owner and has the following contact phone number (405) 604-0901.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 12/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine18162OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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