Healthcare Provider Details

I. General information

NPI: 1811932155
Provider Name (Legal Business Name): INTEGRIS PROHEALTH URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 24TH AVE NW
NORMAN OK
73069-6232
US

IV. Provider business mailing address

700 24TH AVE NW
NORMAN OK
73069-6232
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-0555
  • Fax: 405-573-5477
Mailing address:
  • Phone: 405-364-0555
  • Fax: 405-573-5477

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: STANLEY HUPFELD
Title or Position: CEO
Credential:
Phone: 405-949-3011