Organization
PAIN DIAGNOSIS AND TREATMENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHADRESH BHAKTA (MEMBER)
(918) 369-5511
Entity
Organization
Contact information
Practice address
8556 E 101ST ST, SUITE A, TULSA, OK 74133-7033
(918) 369-5511
(918) 369-5512
Mailing address
8556 E 101ST ST, SUITE A, TULSA, OK 74133-7033
(918) 369-5511
(918) 369-5512
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2007
Last updated
06/04/2014
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