NPI 1306625736

Austin Vaclaw

Practitioner Military Health Care Provider Tulsa, OK

Practice location

Address: 1111 W 17th St, Tulsa, OK 74107-1886
Phone: (918) 561-8257

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence SL2467 (NV)

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Registry record

NPI: 1306625736
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2023
Record last updated: 6 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.