OrganizationActive
Medical Center Pain Clinic, PLLC
NPI 1477829554 · Pain Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1477829554
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- David Ellis, Registered Agent
- License
- 15874 (OK)
Practice location
1226 N Shartel Ave
Suite 300
Oklahoma City, OK 73103
Phone: (405) 232-8003
Fax: (405) 232-8808
Mailing address
2700 Ne 63rd St
Oklahoma City, OK 73111-8305
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2018-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.