Healthcare Provider Details

I. General information

NPI: 1730156886
Provider Name (Legal Business Name): FATIMA N ABRANTES-PAIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 NE 13TH ST
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

1133 FOX LAKE LN
EDMOND OK
73034-7310
US

V. Phone/Fax

Practice location:
  • Phone: 405-456-3235
  • Fax:
Mailing address:
  • Phone: 405-650-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number20092
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number20092
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: