Organization
TEAM CLINICS ANCILLARY SERVICES LLC
Active
Organization
TEAM CLINICS ANCILLARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR NUTT (CEO)
(405) 546-4130
Entity
Organization
Contact information
Practice address
3112 COOKE WAY, OKLAHOMA CITY, OK 73179-2401
(405) 546-4130
Mailing address
201 ROBERT S KERR AVE STE 1600, OKLAHOMA CITY, OK 73102-4216
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201104850A
—
OK
Enumeration date
04/08/2021
Last updated
10/06/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up