# MEDEXPRESS URGENT CARE, PC - OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedExpress Urgent Care - Owasso, E 86th St N
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255719472
- **Authorized official:** MR. TIM BUGIN (VP PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 11760 E 86TH ST N, OWASSO, OK 74055-2533
- **Practice address phone:** (918) 272-2829
- **Practice address fax:** (918) 272-2816
- **Mailing address:** 1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
- **Mailing address phone:** (304) 225-2500
- **Mailing address fax:** (724) 743-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2015
- **Last updated:** 09/14/2016