Texoma Pain Management Specialist PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

28562 Issued in OK

Legal business name

TEXOMA PAIN MANAGEMENT SPECIALIST PLLC

Practice address

1400 Bryan Dr
Ste 306
Durant, OK 74701-2156

Phone

(972) 837-6196

NPI assigned

Aug 31, 2015

Last updated

Sep 1, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christpher D Morgan, MD

Title

Owner

Phone

(972) 837-6196

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1275900763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "STE 306",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012156",
            "telephone_number": "972-837-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "STE 306",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012156",
            "telephone_number": "972-837-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA PAIN MANAGEMENT SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CHRISTPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-837-6196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "28562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Lee Tennison, MTS, BS
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• Texoma Senior Care LLC
• Timothy Thannisch
• The Owen Academy, LLC (The Owen Academy Autism Center)

• Pain Medicine (Anesthesiology) Physician in Durant, OK
• Providers in Durant, OK by specialty
• Pain Medicine (Anesthesiology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.