# PRECISION PAIN MANAGEMENT OF OKLAHOMA

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

## Provider details

- **NPI number:** 1700209566
- **Authorized official:** LISA BRISCOE (CONTRACTING SPECIALIST)
- **Authorized official phone:** (918) 893-9445

## Contact information

- **Practice address:** 4110 S. 100TH E. AVE., STE 201, TULSA, OK 74146-6936
- **Practice address phone:** (918) 857-7246
- **Practice address fax:** (918) 359-5828
- **Mailing address:** 4110 S 100TH E. AVE., STE. 74146, TULSA, OK 74136-3311
- **Mailing address phone:** (918) 857-7246
- **Mailing address fax:** (918) 359-5828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | OK | Yes |
| 363LF0000X | Family Nurse Practitioner | — | OK | — |

## Other

- **Enumeration date:** 01/30/2014
- **Last updated:** 04/29/2016