Healthcare Provider Details
I. General information
NPI: 1528036019
Provider Name (Legal Business Name): OKLAHOMA ARTHRITIS CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1701 RENAISSANCE BLVD SUITE 110
EDMOND OK
73013-3084
US
IV. Provider business mailing address
1701 RENAISSANCE BLVD SUITE 110
EDMOND OK
73013-3084
US
V. Phone/Fax
- Phone: 405-844-4978
- Fax: 405-844-0562
- Phone: 405-844-4978
- Fax: 405-844-0562
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | OK |
VIII. Authorized Official
Name: DR.
CRAIG
W
CARSON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 405-844-4978