Healthcare Provider Details

I. General information

NPI: 1427337518
Provider Name (Legal Business Name): CLASSEN URGENT CARE CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 07/02/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2818 CLASSEN BLVD
NORMAN OK
73071-4059
US

IV. Provider business mailing address

2818 CLASSEN BLVD
NORMAN OK
73071-4059
US

V. Phone/Fax

Practice location:
  • Phone: 405-701-7111
  • Fax: 405-701-7165
Mailing address:
  • Phone: 405-818-9600
  • Fax: 405-364-5379

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: HUSSEIN TORBATI
Title or Position: MEMBER
Credential: PA-C
Phone: 405-818-9600