# MEDOK MUSTANG, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Plus Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831553817
- **Authorized official:** DERRICK FREEMAN DO (OWNER)
- **Authorized official phone:** (405) 256-0501

## Contact information

- **Practice address:** 1616 S MUSTANG RD, YUKON, OK 73099-0304
- **Practice address phone:** (405) 256-0501
- **Mailing address:** 1616 S MUSTANG RD, YUKON, OK 73099-0304
- **Mailing address phone:** (405) 256-0501
- **Mailing address fax:** (405) 265-1611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 05/21/2026