AUSTIN VACLAW NPI 1306625736

NPI Information

  • NPI: 1306625736
  • Provider Name: AUSTIN VACLAW
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 1111 W 17TH ST
    TULSA, OK
    ZIP 74107
  • Phone: (918) 561-8257

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NPI Details

Austin Vaclaw is a military health care provider in Tulsa, OK. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Austin Vaclaw NPI is 1306625736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 W 17TH ST
TULSA, OK
ZIP 74107-886
Phone: (918) 561-8257

The enumeration date for this NPI number is 9/25/2023 and was last updated on 11/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care ProviderSL2467NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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