Healthcare Provider Details

I. General information

NPI: 1043301070
Provider Name (Legal Business Name): T.L. CAREY, M.D. & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 S BRADEN AVE
TULSA OK
74136-6302
US

IV. Provider business mailing address

7125 S BRADEN AVE
TULSA OK
74136-6302
US

V. Phone/Fax

Practice location:
  • Phone: 918-481-8100
  • Fax: 918-481-8159
Mailing address:
  • Phone: 918-481-8130
  • Fax: 918-481-8159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number14591
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR0077732
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14591
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number3626
License Number StateOK
# 5
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number14591
License Number StateOK
# 6
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number14591
License Number StateOK
# 7
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number14591
License Number StateOK
# 8
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number6814
License Number StateOK
# 9
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number14591
License Number StateOK

VIII. Authorized Official

Name: DR. TERENCE LEONARD CAREY
Title or Position: OWNER
Credential: M.D.
Phone: 918-481-8100