Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestcare Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1174139554

Crestcare Family Medicine, PLLC is a Family Medicine Physician in Broken Arrow, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

817 S Elm Pl Ste 104
Broken Arrow, OK 74012-5369
Phone: (918) 251-9698
Fax: (405) 241-9022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174139554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gaurangi Anklesaria — Owner · (918) 251-9698
NPI enumeratedSeptember 21, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020
Mailing address817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369

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