Organization
LONG TERM CARE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN HERNDON (BILLING DIRECTOR)
(405) 557-1200
Entity
Organization
Contact information
Practice address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Mailing address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100736840A
—
OK
Enumeration date
08/01/2006
Last updated
10/22/2024
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