Organization
AVENSTAR PAIN SPECIALISTS, PLLC
Active
Other names
Randall Pain Managment, Avenstar Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ERIC RANDALL MD (OWNER)
(405) 438-0913
Entity
Organization
Contact information
Practice address
1732 S SOONER RD, MIDWEST CITY, OK 73110
(405) 438-0913
Mailing address
1732 S SOONER RD, MIDWEST CITY, OK 73110
(405) 438-0913
(405) 438-0958
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
N4691
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
2493
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200341890A
—
OK
Enumeration date
03/11/2015
Last updated
03/06/2025
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