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Contact Information

FEDCARE, LLC
1801 N BROADWAY AVE
OKLAHOMA CITY, OK73103-3446
 Phone: 405-219-2651
 Fax: 405-429-5191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Legal Medicine

209800000X
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for FEDCARE LLC · (Female)

NPI # 1083585491
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2025
Last updated 09/17/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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