Provider Demographics
NPI:1265313407
Name:MPIO, ASC, PLLC
Entity type:Organization
Organization Name:MPIO, ASC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAIN MANAGEMENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSULTANTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-371-0122
Mailing Address - Street 1:1622 HIGHWAY 30 E
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-2319
Mailing Address - Country:US
Mailing Address - Phone:662-371-0122
Mailing Address - Fax:
Practice Address - Street 1:1622 HIGHWAY 30 E
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-2319
Practice Address - Country:US
Practice Address - Phone:662-371-0122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty