Healthcare Provider Details

I. General information

NPI: 1316017395
Provider Name (Legal Business Name): URGENT CARE SERVICES OF OKLAHOMA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 S HIGHWAY 66
CLAREMORE OK
74019-4371
US

IV. Provider business mailing address

PO BOX 108822
OKLAHOMA CITY OK
73101-8822
US

V. Phone/Fax

Practice location:
  • Phone: 918-343-2273
  • Fax: 918-343-2284
Mailing address:
  • Phone: 918-343-2273
  • Fax: 918-343-2284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateOK

VIII. Authorized Official

Name: MATTHEW TUCKER
Title or Position: OWNER
Credential: D.O.
Phone: 918-343-2273