Provider Demographics
NPI:1093039984
Name:TWINMED URGENT CARE, ARNP/PA, P.L.L.C.
Entity Type:Organization
Organization Name:TWINMED URGENT CARE, ARNP/PA, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CODER/BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:G
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-302-0900
Mailing Address - Street 1:200 S 3RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5651
Mailing Address - Country:US
Mailing Address - Phone:918-302-0900
Mailing Address - Fax:918-302-0929
Practice Address - Street 1:200 S 3RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5651
Practice Address - Country:US
Practice Address - Phone:918-302-0900
Practice Address - Fax:918-302-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-21
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKROO73757363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200285440 AMedicaid
OK200285440 AMedicaid