# ADVANCED PAIN OF TULSA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699246645
- **Authorized official:** DR. LAM DUY NGUYEN (OWNER)
- **Authorized official phone:** (918) 901-9701

## Contact information

- **Practice address:** 9320 S MINGO RD, TULSA, OK 74133-5710
- **Practice address phone:** (918) 901-9702
- **Mailing address:** 6528 E 101ST ST STE D1414, TULSA, OK 74133-6724
- **Mailing address phone:** (918) 901-9701
- **Mailing address fax:** (918) 901-9702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 09/27/2021