Organization
WILDHORSE FAMILY PRACTICE & URGENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONA K ESTES RN (RN/CEO)
(918) 647-7829
Entity
Organization
Contact information
Practice address
1024 W CHEROKEE, SALLISAW, OK 74955
(918) 647-7829
(918) 654-3020
Mailing address
26256 CAUGHRON RD, CAMERON, OK 74932-2376
(918) 647-7829
(918) 654-3020
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9186543020
CLINIC
OK
Enumeration date
01/17/2013
Last updated
01/17/2013
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