Healthcare Provider Details

I. General information

NPI: 1366621716
Provider Name (Legal Business Name): VALIR OUTPATIENT CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 S CORNWELL DR
YUKON OK
73099-4554
US

IV. Provider business mailing address

825 N BROADWAY AVE SUITE 400
OKLAHOMA CITY OK
73102-6039
US

V. Phone/Fax

Practice location:
  • Phone: 405-354-6698
  • Fax: 405-354-6609
Mailing address:
  • Phone: 405-609-3670
  • Fax: 405-605-8638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JOE A STREICH
Title or Position: VP OF OUTPATIENT SERVICES
Credential: MSPT
Phone: 405-609-3670