Healthcare Provider Details

I. General information

NPI: 1619735222
Provider Name (Legal Business Name): ON-SITE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 SPRINGER DR STE 304
NORMAN OK
73069-3966
US

IV. Provider business mailing address

2424 SPRINGER DR STE 102
NORMAN OK
73069-3966
US

V. Phone/Fax

Practice location:
  • Phone: 405-906-2191
  • Fax: 405-920-6420
Mailing address:
  • Phone: 405-216-3747
  • Fax: 405-339-0377

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 Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TERRY GRAY
Title or Position: OWNER
Credential:
Phone: 405-216-3747