Healthcare Provider Details

I. General information

NPI: 1497771026
Provider Name (Legal Business Name): OKLAHOMA PAINCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4334 NW EXPRESSWAY ST #270
OKLAHOMA CITY OK
73116-1578
US

IV. Provider business mailing address

4334 NW EXPRESSWAY ST #270
OKLAHOMA CITY OK
73116-1578
US

V. Phone/Fax

Practice location:
  • Phone: 405-840-4433
  • Fax: 405-840-5533
Mailing address:
  • Phone: 405-840-4433
  • Fax: 405-840-5533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL J SCHWARTZ
Title or Position: DIRECTOR
Credential: M.D.
Phone: 405-840-4433