Healthcare Provider Details

I. General information

NPI: 1013959378
Provider Name (Legal Business Name): MIDWEST PAIN CONSULTANTS P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 SE 29TH ST SUITE 750
DEL CITY OK
73115-3406
US

IV. Provider business mailing address

PO BOX 268945
OKLAHOMA CITY OK
73126-8945
US

V. Phone/Fax

Practice location:
  • Phone: 405-733-5900
  • Fax: 405-733-5905
Mailing address:
  • Phone: 405-733-5900
  • Fax: 405-733-5905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY PAUL MEYER
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 405-733-5900