MEDICARE: CAREATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1578372405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREATC

Provider Business Mailing Address
First Line	:	4500 S 129TH EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74134-5801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S HENDERSON ST STE 460
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76104-2155
Country	:	US
Telephone Number	:	682-231-9110
Fax Number	:

Authorized Official
Title or Position	:	SR. DIRECTOR, DATA & ANALYTICS
Name	:	KELLY BENDER
Credential	:
Telephone Number	:	918-779-7475

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/06/2025

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Directions to “CAREATC ” Practice Location

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