Healthcare Provider Details

I. General information

NPI: 1326366972
Provider Name (Legal Business Name): WELCH PAIN RELIEF CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4430 NW 50TH SUITE A
OKLAHOMA CITY OK
73112-2298
US

IV. Provider business mailing address

4430 NW 50TH STREET SUITE A
OKLAHOMA CITY OK
73112-2298
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-0434
  • Fax: 405-949-0330
Mailing address:
  • Phone: 405-949-0434
  • Fax: 405-949-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1996
License Number StateOK

VIII. Authorized Official

Name: DR. CECIL FLOYD WELCH
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 405-949-0434