Healthcare Provider Details

I. General information

NPI: 1194003871
Provider Name (Legal Business Name): CHRISTOPHER D CAREY MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2011
Last Update Date: 07/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 NW EXPRESSWAY SUITE 420
OKLAHOMA CITY OK
73112-4493
US

IV. Provider business mailing address

PO BOX 720786
NORMAN OK
73070-4610
US

V. Phone/Fax

Practice location:
  • Phone: 405-713-9935
  • Fax: 405-713-9936
Mailing address:
  • Phone: 405-292-5500
  • Fax: 405-292-5505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number28389
License Number StateOK

VIII. Authorized Official

Name: CHRISTOPHER D CAREY
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 405-513-0087