| Organization Name: | URGENT CARE OF GREEN COUNTRY PLLC |
| NPI Number: | 1134273873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN ROBERT KOVACS (OWNER) |
| Mailing Address: | 13616 E 103rd Street N Suite A Owasso |
| State: | OK US |
| Postal Code: | 74055 |
| Phone Number: | 9182748555 |
| Fax Number: | 9182748556 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |