Healthcare Provider Details

I. General information

NPI: 1194558304
Provider Name (Legal Business Name): METRO HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N LEE AVE STE 305
OKLAHOMA CITY OK
73103-2620
US

IV. Provider business mailing address

1111 N LEE AVE STE 305
OKLAHOMA CITY OK
73103-2620
US

V. Phone/Fax

Practice location:
  • Phone: 405-272-4978
  • Fax: 405-772-4435
Mailing address:
  • Phone: 405-272-4978
  • Fax: 405-772-4435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW JARED
Title or Position: PHYSICIAN & OWNER
Credential: MD
Phone: 405-272-4978