Organization
VALIR OUTPATIENT CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MOODY (SR VP)
(405) 609-3600
Entity
Organization
Contact information
Practice address
4901 N KICKAPOO AVE STE 1556, SHAWNEE, OK 74804-1308
(405) 214-9808
(405) 214-9389
Mailing address
PO BOX 643001, DALLAS, TX 75264-3001
(405) 553-1197
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051680G
—
OK
Enumeration date
04/25/2017
Last updated
06/13/2023
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