# TULSA PAIN CARE GROUP LLC

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

## Provider details

- **NPI number:** 1730606294
- **Authorized official:** NATASHA KAUFFMAN (OFFICE ASSISTANT)
- **Authorized official phone:** (539) 444-8082

## Contact information

- **Practice address:** 817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
- **Practice address phone:** (539) 444-8082
- **Practice address fax:** (539) 444-8082
- **Mailing address:** 817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
- **Mailing address phone:** (539) 444-8082
- **Mailing address fax:** (539) 444-8082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 07/21/2022