| Tulsa Pain Care Group Llc | |
|
817 S Elm Pl Ste 106 Broken Arrow OK 74012-5369 | |
| (539) 444-8082 | |
| (539) 444-8082 |
| Full Name | Tulsa Pain Care Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 817 S Elm Pl Ste 106, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Natasha Kauffman (OFFICE ASSISTANT) |
| Authorized Official Contact | 5394448082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Pain Care Group Llc 817 S Elm Pl Ste 106 Broken Arrow OK 74012-5369 Ph: (539) 444-8082 | Tulsa Pain Care Group Llc 817 S Elm Pl Ste 106 Broken Arrow OK 74012-5369 Ph: (539) 444-8082 |
| NPI Number | 1730606294 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730606294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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