Organization
HOMETOWN URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BIORATO DO (PHYSICIAN)
(405) 818-7425
Entity
Organization
Contact information
Practice address
731 E STATE HIGHWAY 152, MUSTANG, OK 73064-4520
(405) 324-5566
(405) 324-5628
Mailing address
14936 SW 65TH ST, MUSTANG, OK 73064-9599
(405) 818-7425
(405) 324-5628
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4174
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200770810A
—
OK
Enumeration date
04/03/2018
Last updated
10/19/2018
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