Red River Pain Solutions

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0104057 Issued in TX

Legal business name

RED RIVER PAIN SOLUTIONS

Practice address

414 E 124TH St S
Jenks, OK 74037-4971

Phone

(918) 633-3006

Fax

(918) 298-6338

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SOONER HOLDINGSAs reported in NPPES

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

Authorized official

Name

Mrs. Susan Michelle Armstrong, OPA, CO

Title

General Partner

Phone

(918) 633-3006

Specialties & licenses 1

Addresses

Other names 1

• TEXAMEDEQ Other name

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1699001594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 124TH ST S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374971",
            "telephone_number": "918-633-3006",
            "fax_number": "918-298-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 124TH ST S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374971",
            "telephone_number": "918-633-3006",
            "fax_number": "918-298-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER PAIN SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOONER HOLDINGS",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "918-633-3006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPA, CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0104057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAMEDEQ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Jenks, OK
• Providers in Jenks, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.