Provider Demographics
NPI:1619735222
Name:ON-SITE CARE LLC
Entity Type:Organization
Organization Name:ON-SITE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-974-8945
Mailing Address - Street 1:2424 SPRINGER DR STE 304
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3966
Mailing Address - Country:US
Mailing Address - Phone:405-906-2191
Mailing Address - Fax:405-351-4199
Practice Address - Street 1:2424 SPRINGER DR STE 304
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-3966
Practice Address - Country:US
Practice Address - Phone:405-906-2191
Practice Address - Fax:405-351-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty