Provider Demographics
NPI:1376243303
Name:ALTRIX SOLUTIONS LLC
Entity Type:Organization
Organization Name:ALTRIX SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:VANBUSKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:405-760-2550
Mailing Address - Street 1:3914 SLEDMERE LN
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-1404
Mailing Address - Country:US
Mailing Address - Phone:405-760-2550
Mailing Address - Fax:
Practice Address - Street 1:1145 W I 240 SERVICE RD STE F100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-2134
Practice Address - Country:US
Practice Address - Phone:405-900-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center