NPI 1013024710
Caresource-Tulsa, LLC
Practice location
- Address
- 1400 SW Expressway Dr, Broken Arrow, OK 74012
- Phone
- (918) 250-7051
- Fax
- (918) 392-3442
- Mailing address
- PO Box 270214, Oklahoma City, OK 73137-0214
Authorised official
- Name
- Larry Pierce
- Title
- Executive Director
- Phone
- (405) 948-2822
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1013024710
- Entity type
- Organization
- NPI issued
- 25 Aug 2006
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.