# CLINILOGIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639661333
- **Authorized official:** RITA PANNELL (REV CYCLE MGR)
- **Authorized official phone:** (214) 310-6763

## Contact information

- **Practice address:** 3727 NW 63RD ST STE 302, OKLAHOMA CITY, OK 73116-1931
- **Practice address phone:** (405) 702-8623
- **Practice address fax:** (405) 608-8623
- **Mailing address:** 2701 LITTLE ELM PKWY STE 100-148, LITTLE ELM, TX 75068-6672
- **Mailing address phone:** (214) 310-6763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2018
- **Last updated:** 07/29/2019