Provider Demographics
NPI:1497964829
Name:AM-PM DOCTORS URGENT CARE LLC
Entity Type:Organization
Organization Name:AM-PM DOCTORS URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARS
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-722-5500
Mailing Address - Street 1:7109 W HEFNER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4535
Mailing Address - Country:US
Mailing Address - Phone:405-722-5500
Mailing Address - Fax:405-720-4404
Practice Address - Street 1:7109 W HEFNER RD
Practice Address - Street 2:SUITE D
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4535
Practice Address - Country:US
Practice Address - Phone:405-722-5500
Practice Address - Fax:405-720-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK244514402Medicare PIN