Healthcare Provider Details

I. General information

NPI: 1285570598
Provider Name (Legal Business Name): TRIAD COMPLETE HEALTHCARE A06 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 W HIGHWAY 66
STROUD OK
74079-6729
US

IV. Provider business mailing address

1411 W 12TH AVE
STILLWATER OK
74074-5481
US

V. Phone/Fax

Practice location:
  • Phone: 405-338-7707
  • Fax: 405-533-3132
Mailing address:
  • Phone: 405-338-7707
  • Fax: 405-533-3132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN CHAD BAYER
Title or Position: AUTHORIZED OFFICIAL / OWNER
Credential:
Phone: 405-372-6120