MEDICARE: FASTER CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	18631	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174892533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FASTER CARE, LLC

Provider Business Mailing Address
First Line	:	8105 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6004
Country	:	US
Telephone Number	:	405-602-3500
Fax Number	:	405-602-3550

Provider Business Practice Location Address
First Line	:	8105 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6004
Country	:	US
Telephone Number	:	405-602-3500
Fax Number	:	405-602-3550

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARK M HOELSCHER
Credential	:
Telephone Number	:	405-602-3500

Provider Enumeration Date	:	12/14/2011
Last Update Date	:	02/24/2016

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Directions to “FASTER CARE, LLC ” Practice Location

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