Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 14591 | OK |
N | 208000000X | Pediatrician | 14591 | OK |
N | 2080P0214X | Pediatric Pulmonologist | 14591 | OK |
NPI | 1003998816 |
---|---|
Provider Name | Dr. Terence Leonard Carey |
First Address | Tulsa, OK 74136-6302 |
Second Address | Tulsa, OK 74136-6302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 05/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100790390B | (05) | OK |
D38679 | (02) | OK |
OKB5655 | PTAN (01) | OK |