Provider Demographics
NPI:1518230002
Name:ADVANCED PAIN SPECIALISTS OF TULSA, PLLC
Entity Type:Organization
Organization Name:ADVANCED PAIN SPECIALISTS OF TULSA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:SALGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-899-2751
Mailing Address - Street 1:11063D S MEMORIAL DR # 518
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7362
Mailing Address - Country:US
Mailing Address - Phone:918-899-2751
Mailing Address - Fax:
Practice Address - Street 1:5555 E 71ST ST STE 7200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6544
Practice Address - Country:US
Practice Address - Phone:918-879-1700
Practice Address - Fax:918-879-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207L00000X, 207LP2900X, 2081P2900X, 208VP0014X
OK37D2039747291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty