Healthcare Provider Details

I. General information

NPI: 1437358447
Provider Name (Legal Business Name): HOME INFUSION THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 05/08/2013
Certification Date:
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: 918-481-8100
  • Fax: 918-481-8159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number14591
License Number StateOK

VIII. Authorized Official

Name: DR. TERENCE L. CAREY
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 918-231-6501