Healthcare Provider Details

I. General information

NPI: 1679774442
Provider Name (Legal Business Name): URGENT MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 N HIGHWAY 81 STE E
DUNCAN OK
73533-1460
US

IV. Provider business mailing address

2004 N HIGHWAY 81
DUNCAN OK
73533-1460
US

V. Phone/Fax

Practice location:
  • Phone: 580-252-1911
  • Fax: 580-252-1020
Mailing address:
  • Phone: 580-252-1911
  • Fax: 580-252-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAY LANCE GREGSTON
Title or Position: OWNER
Credential: MD
Phone: 580-252-1911