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
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
03/29/2026
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