Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Crestcare Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1174139554

Crestcare Family Medicine, PLLC provides Family Medicine Physician services 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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