Healthcare Provider Details

I. General information

NPI: 1538597372
Provider Name (Legal Business Name): MONTE VEAL, D.O., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2013
Last Update Date: 07/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 S WESTERN AVE
OKLAHOMA CITY OK
73170-5819
US

IV. Provider business mailing address

11401 S WESTERN AVE
OKLAHOMA CITY OK
73170-5819
US

V. Phone/Fax

Practice location:
  • Phone: 405-735-3041
  • Fax: 405-735-3146
Mailing address:
  • Phone: 405-735-3041
  • Fax: 405-735-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number3795
License Number StateOK

VIII. Authorized Official

Name: MRS. STEPHANIE RAYNELL SANCHEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-735-3041