| Organization Name: | ON SITE SILVER CARE |
| NPI Number: | 1962807412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN K LEDBETTER (CO-OWNER) |
| Mailing Address: | 11106 S Yale Ave Suite 400 Tulsa |
| State: | OK US |
| Postal Code: | 741377620 |
| Phone Number: | 9188957000 |
| Fax Number: | 9188957213 |
| NPI Enumeration Date: | 10/27/2014 |
| NPI Last Update Date: | 10/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4427 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |