Healthcare Provider Details
I. General information
NPI: 1801726682
Provider Name (Legal Business Name): ECONOIR, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2026
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6309 E 89TH ST
TULSA OK
74137-3114
US
IV. Provider business mailing address
6309 E 89TH ST
TULSA OK
74137-3114
US
V. Phone/Fax
- Phone: 918-408-2107
- Fax:
- Phone: 918-408-2107
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EVAN
MILLER
Title or Position: MANAGING MEMBER
Credential: APRN-CNP
Phone: 918-408-2107