Spine Care of Oklahoma, LLC
Spine Care of Oklahoma, LLC is a Preferred Provider Organization in Edmond, Oklahoma. Works from 2 locations. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
508 W 15th StEdmond, OK 73013-3615
Phone: (405) 840-5100
Fax: (405) 840-5102
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5900 Mosteller Dr, Oklahoma City, OK 73112-4600 — (405) 840-5100
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 22294 (OK) |
|---|
Record details
| NPI number | 1033302906 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Shadid — Business Owner · (405) 840-5100 |
| NPI enumerated | August 23, 2007 |
| Last updated in NPPES | August 15, 2022 |
| Certification date | July 24, 2021 |
| Mailing address | 508 W 15th St, Edmond, OK 73013-3615 |