Provider Demographics
NPI:1699330324
Name:URGENT CARE OF MISSOURI
Entity type:Organization
Organization Name:URGENT CARE OF MISSOURI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AZHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-686-0400
Mailing Address - Street 1:6966 S UTICA AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3903
Mailing Address - Country:US
Mailing Address - Phone:855-492-6333
Mailing Address - Fax:
Practice Address - Street 1:1721 LA QUESTA DR STE 5
Practice Address - Street 2:
Practice Address - City:NEOSHO
Practice Address - State:MO
Practice Address - Zip Code:64850-9000
Practice Address - Country:US
Practice Address - Phone:855-492-6333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care