Healthcare Provider Details

I. General information

NPI: 1467995589
Provider Name (Legal Business Name): QUICK URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 N BROADWAY ST
MOORE OK
73160-4303
US

IV. Provider business mailing address

2212 N BROADWAY ST
MOORE OK
73160-4303
US

V. Phone/Fax

Practice location:
  • Phone: 405-285-7222
  • Fax: 405-364-5379
Mailing address:
  • Phone: 405-285-7222
  • Fax: 405-285-7227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. IFTIKHAR A SANDHU
Title or Position: OWNER / PROVIDER
Credential: PA-C
Phone: 405-285-7222