Healthcare Provider Details

I. General information

NPI: 1609833615
Provider Name (Legal Business Name): EMERGENCY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 S YALE AVE ER DEPT.
TULSA OK
74136-1902
US

IV. Provider business mailing address

PO BOX 22063 DEPT 0491
TULSA OK
74121-2063
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-1817
  • Fax: 405-749-4561
Mailing address:
  • Phone: 405-751-4664
  • Fax: 405-749-4561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEAN CARR JR.
Title or Position: ADMINISTRATOR/CFO
Credential: MBA
Phone: 918-665-1520