Caresource-Tulsa, LLC
NPI #1013024710 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1013024710
- Entity Type
- Organization
- Organization Name
- Caresource-Tulsa, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1400 SW EXPRESSWAY DR
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012
- Phone
- (918) 250-7051
Authorized Official
- Name
- MR. LARRY PIERCE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (405) 948-2822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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