OrganizationActive
Fedcare, LLC
NPI 1083585491 · General Practice Physician · Oklahoma City, OK
Provider details
- NPI number
- 1083585491
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Emili Gragg, Operations Manager
Practice location
1801 N Broadway Ave
Oklahoma City, OK 73103-3446
Phone: (405) 219-2651
Fax: (405) 429-5191
Mailing address
Po Box 152
Oklahoma City, OK 73101-0152
Registry dates
- Enumerated
- 2025-09-17
- Last updated
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.