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Organization
MEDOK MUSTANG, LLC
Active
Organization
MEDOK MUSTANG, LLC
Active
Other names
Premier Plus Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK FREEMAN DO (OWNER)
(405) 256-0501
Entity
Organization
Contact information
Practice address
1616 S MUSTANG RD, YUKON, OK 73099-0304
(405) 256-0501
Mailing address
1616 S MUSTANG RD, YUKON, OK 73099-0304
(405) 256-0501
(405) 265-1611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/06/2016
Last updated
05/21/2026
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