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Organization

TRANSITIONS LIFECARE LLC

Active
Find providers by NPI
Organization

TRANSITIONS LIFECARE LLC

Active
Parent organization
TRANSITIONS LIFECARE LLC
Other names
Transitions LifeCare
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRANSITIONS LIFECARE LLC
Authorized official
MR. JOSHUA HAVEN BRAZEAL (CHIEF EXECUTIVE OFFICER)
(405) 206-4680
Entity
Organization

Contact information

Practice address
1515 E 71ST ST, SUITE 100, TULSA, OK 74136-5046
(405) 206-4680
(918) 551-6890
Mailing address
1515 E 71ST ST, SUITE 100, TULSA, OK 74136-5046
(405) 206-4680
(918) 551-6890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
364S00000X
Clinical Nurse Specialist
—
NULL
364S00000X
Clinical Nurse Specialist
—
—

Other

Enumeration date
12/31/2014
Last updated
12/31/2014
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