Provider Demographics
NPI:1801007711
Name:VALIR OUTPATIENT CLINICS LLC
Entity Type:Organization
Organization Name:VALIR OUTPATIENT CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OUTPATIENT SERVIC
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:405-609-3662
Mailing Address - Street 1:8409 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-9211
Mailing Address - Country:US
Mailing Address - Phone:405-616-0113
Mailing Address - Fax:405-616-0116
Practice Address - Street 1:8409 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9211
Practice Address - Country:US
Practice Address - Phone:405-616-0113
Practice Address - Fax:405-616-0116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies