OrganizationActive
Long Term Care Specialists, Inc
NPI 1497761159 · Geriatric Medicine (Family Medicine) Physician · Oklahoma City, OK
Provider details
- NPI number
- 1497761159
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jillian Herndon, Billing Director
Practice location
5721 Nw 132nd St
Oklahoma City, OK 73142-4437
Phone: (405) 557-1200
Fax: (405) 557-1977
Mailing address
5721 Nw 132nd St
Oklahoma City, OK 73142-4437
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.