Organization
COMPREHENSIVE PAIN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL PHILLIPS DO (DIRECTORS OF OPERATION)
(405) 601-4227
Entity
Organization
Contact information
Practice address
301 SW 80TH ST, OKLAHOMA CITY, OK 73139-8124
(405) 601-4227
(405) 601-4237
Mailing address
PO BOX 357, LOWELL, AR 72745-0357
(405) 775-9350
(405) 775-9060
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
2427
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050020190
MEDICARE RR
OK
05
—
100742950A
—
OK
01
—
352470400
DOL
OK
Enumeration date
07/10/2006
Last updated
12/14/2022
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