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Carrus Care Physicians Group Inc.

Organization Active NPI Primary Care Clinic/Center · Bristow, OK

NPI 1487301685 · NPPES record last updated May 6, 2024

Key facts

NPI
1487301685
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
CARRUS CARE PHYSICIANS GROUP INC.
Practice address
700 W 7TH Ave
Bristow, OK 74010-2302
Phone
(918) 807-5029
NPI assigned
Mar 7, 2022
Organization subpart
No

Authorized official

Name
Mr. Anbu Nachimuthu
Title
Chairman/Ceo
Phone
(903) 870-2745

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2258880Carrus Lakeside Primary Care
700 W 7TH Ave, Ste 102, Bristow, OK 74010		Certificate of waiverApr 27, 2028

National Provider Directory

Tax ID family
Carrus Care Physicians Group Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Primary Care Clinic/Center 261QP2300X Yes
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

700 W 7TH Ave
Bristow, OK 74010-2302

Mailing address

1810 W US Highway 82
Sherman, TX 75092-7069
Phone (903) 870-2745

Other practice location 1

122 W 4th Ave
Bristow, OK 74010-2823
Phone (918) 367-9933

Other names

  • Carrus Lakeside Primary Care Doing business as
  • Carrus Lakeside Therapy Services Doing business as
  • Carrus Lakeside Urgent Care Doing business as

Other providers in Bristow, OK

All providers in Bristow, OK · Primary Care Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.