Provider Demographics
NPI:1922502194
Name:OAKES FAMILY PAIN SOLUTIONS PLLC
Entity Type:Organization
Organization Name:OAKES FAMILY PAIN SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUTHER
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:OAKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-334-2929
Mailing Address - Street 1:1907 LISA DRIVE EXT STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-4429
Mailing Address - Country:US
Mailing Address - Phone:662-334-2929
Mailing Address - Fax:662-269-4482
Practice Address - Street 1:1907 LISA DRIVE EXT STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-4429
Practice Address - Country:US
Practice Address - Phone:662-334-2929
Practice Address - Fax:662-269-4482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS22238208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty