Provider Demographics
NPI:1326379967
Name:WEIR ASC, LLC
Entity type:Organization
Organization Name:WEIR ASC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-605-4350
Mailing Address - Street 1:9913 S MAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73189-7900
Mailing Address - Country:US
Mailing Address - Phone:405-605-4350
Mailing Address - Fax:405-605-4221
Practice Address - Street 1:9913 S MAY AVENUE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7900
Practice Address - Country:US
Practice Address - Phone:405-605-4350
Practice Address - Fax:405-605-4221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical