Healthcare Provider Details

I. General information

NPI: 1932299286
Provider Name (Legal Business Name): CARTER PROFESSIONAL CARE, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 E 33RD ST
EDMOND OK
73013-6307
US

IV. Provider business mailing address

1241 E 33RD ST
EDMOND OK
73013-6307
US

V. Phone/Fax

Practice location:
  • Phone: 405-562-4221
  • Fax: 855-940-4087
Mailing address:
  • Phone: 405-562-4221
  • Fax: 855-940-4087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD SCOTT CARTER
Title or Position: CEO
Credential:
Phone: 405-514-7254