Provider Demographics
NPI:1275713489
Name:VALIR OUTPATIENT CLINICS LLC
Entity Type:Organization
Organization Name:VALIR OUTPATIENT CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OUTPATIENT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STREICH
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:405-609-3670
Mailing Address - Street 1:825 N BROADWAY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-6039
Mailing Address - Country:US
Mailing Address - Phone:405-609-3670
Mailing Address - Fax:405-605-8638
Practice Address - Street 1:6904 E RENO AVE
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-2152
Practice Address - Country:US
Practice Address - Phone:405-610-2488
Practice Address - Fax:405-610-2484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies