Healthcare Provider Details

I. General information

NPI: 1578686069
Provider Name (Legal Business Name): JOYCE BARR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N STILES AVE APT. 9C
OKLAHOMA CITY OK
73104-2876
US

IV. Provider business mailing address

1309 N STILES AVE APT. 9C
OKLAHOMA CITY OK
73104-2876
US

V. Phone/Fax

Practice location:
  • Phone: 405-243-3579
  • Fax:
Mailing address:
  • Phone: 405-243-3579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: