Healthcare Provider Details

I. General information

NPI: 1174892533
Provider Name (Legal Business Name): FASTER CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2011
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8105 NW EXPRESSWAY
OKLAHOMA CITY OK
73162-6004
US

IV. Provider business mailing address

8105 NW EXPRESSWAY
OKLAHOMA CITY OK
73162-6004
US

V. Phone/Fax

Practice location:
  • Phone: 405-602-3500
  • Fax: 405-602-3550
Mailing address:
  • Phone: 405-602-3500
  • Fax: 405-602-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number18631
License Number StateOK

VIII. Authorized Official

Name: MARK M HOELSCHER
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-602-3500