Most Relevant Information
Provider Data
| NPI Number: | 1003534678 |
| Provider Name: | PAYTON RAE CARR |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2022 |
| Last Updated: | 08/18/2022 |
Provider Practice Location
5310 E 31ST ST
TULSA
OK
741355018
Practice Location Phone/Fax
| Phone: | 9186003100 |
| Fax: | 9185601399 |
Provider Mailing Location
5310 E 31ST ST
TULSA
OK
741355018
Provider Mailing Phone/Fax
| Phone: | 9186003100 |
| Fax: |