# CAREATC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063288231
- **Authorized official:** KELLY BENDER (DIRECTOR, PRODUCT & DATA MANAGEMENT)
- **Authorized official phone:** (918) 779-7475

## Contact information

- **Practice address:** 4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
- **Practice address phone:** (918) 779-7475
- **Mailing address:** 4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 11/29/2023