Organization
CARRUS CARE PHYSICIANS GROUP INC.
Active
Other names
Carrus Lakeside Primary Care, Carrus Lakeside Therapy Services, Carrus Lakeside Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANBU NACHIMUTHU (CHAIRMAN/CEO)
(903) 870-2745
Entity
Organization
Contact information
Practice address
700 W 7TH AVE, BRISTOW, OK 74010-2302
(918) 807-5029
Mailing address
1810 W US HIGHWAY 82, SHERMAN, TX 75092-7069
(903) 870-2745
(903) 870-2795
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
03/07/2022
Last updated
05/06/2024
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