Organization
OKLAHOMA PAIN AND WELLNESS CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYEN H PATEL MD (OWNER/PHYSICIAN)
(918) 935-3240
Entity
Organization
Contact information
Practice address
2811 E 15TH ST STE 102, TULSA, OK 74104-5242
(918) 935-3240
(918) 935-3241
Mailing address
2811 E 15TH ST STE 102, TULSA, OK 74104-5242
(918) 935-3240
(918) 935-3241
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294580A
—
OK
Enumeration date
05/25/2010
Last updated
07/21/2022
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