MEDICARE: TRUCARE PAIN MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1861247918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUCARE PAIN MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	9220 S PENNSYLVANIA AVE STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6909
Country	:	US
Telephone Number	:	405-703-8860
Fax Number	:	405-900-4985

Provider Business Practice Location Address
First Line	:	9220 S PENNSYLVANIA AVE STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6909
Country	:	US
Telephone Number	:	720-219-5856
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ANDREW LOVELL
Credential	:	DO
Telephone Number	:	918-284-3898

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	12/10/2025

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