Organization
TULSA PAIN CONSULTANTS, INC
Active
Organization
TULSA PAIN CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW FRANK REVELIS M.D. (PRESIDENT)
(918) 742-7030
Entity
Organization
Contact information
Practice address
10810 E 45TH ST STE 400, TULSA, OK 74146-3806
(918) 742-7030
(918) 742-9958
Mailing address
PO BOX 268996, OKLAHOMA CITY, OK 73126-8996
(918) 742-7030
(918) 742-9958
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743930A
—
OK
Enumeration date
02/28/2007
Last updated
11/09/2020
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