Organization
OKLAHOMA SPINE HOSPITAL LLC
Active
Other names
OSH Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BLAYLOCK (CEO/AO)
(405) 749-2700
Entity
Organization
Contact information
Practice address
14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
(405) 775-4241
(405) 841-9385
Mailing address
4013 NW EXPRESSWAY STE 610, OKLAHOMA CITY, OK 73116-1525
(405) 833-4227
(405) 241-5298
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/14/2015
Last updated
04/27/2026
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