Healthcare Provider Details

I. General information

NPI: 1124616222
Provider Name (Legal Business Name): INPATIENT CARE SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N PORTER AVE
NORMAN OK
73071-6482
US

IV. Provider business mailing address

PO BOX 57390
OKLAHOMA CITY OK
73157-7390
US

V. Phone/Fax

Practice location:
  • Phone: 405-307-1000
  • Fax: 405-265-5935
Mailing address:
  • Phone: 405-506-9101
  • Fax: 405-936-0561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES L PAULSGROVE
Title or Position: OWNER
Credential: MD
Phone: 405-312-6296