MEDICARE: T.L. CAREY, M.D. & ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	14591	OK
2	207Q00000X	Family Medicine Physician	R0077732	OK
3	208000000X	Pediatrics Physician	14591	OK
4	208000000X	Pediatrics Physician	3626	OK
5	2080A0000X	Pediatric Adolescent Medicine Physician	14591	OK
6	2080P0201X	Pediatric Allergy/Immunology Physician	14591	OK
7	2080P0214X	Pediatric Pulmonology Physician	14591	OK
8	2080P0214X	Pediatric Pulmonology Physician	6814	OK
9	174400000X	Specialist	14591	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

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

Provider Business Mailing Address
First Line	:	7125 S BRADEN AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-6302
Country	:	US
Telephone Number	:	918-481-8130
Fax Number	:	918-481-8159

Provider Business Practice Location Address
First Line	:	7125 S BRADEN AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-6302
Country	:	US
Telephone Number	:	918-481-8100
Fax Number	:	918-481-8159

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TERENCE LEONARD CAREY
Credential	:	M.D.
Telephone Number	:	918-481-8100

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	01/22/2025

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