MEDICARE: VALIR OUTPATIENT CLINIC #11 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679008544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALIR OUTPATIENT CLINIC #11 LLC

Provider Business Mailing Address
First Line	:	700 NW 7TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1212
Country	:	US
Telephone Number	:	405-609-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	13100 N WESTERN AVE STE 302
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-1432
Country	:	US
Telephone Number	:	405-749-6720
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	SAVANAH PATT
Credential	:
Telephone Number	:	405-609-3600

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	03/22/2020

Similar Medicare Providers

1235293804 — LEE RICHERSON MACKIN PA-C
Practice Location Address:

13100 N WESTERN AVE STE 303
OKLAHOMA CITY, OK
73114-1432

Practice Phone: 800-781-1220
Practice Fax: 888-678-8616

1407180748 — SKIN SURGERY CENTER OF OKLAHOMA, P.C.
Practice Location Address:

13100 N WESTERN AVE STE 301
OKLAHOMA CITY, OK
73114-1432

Practice Phone: 405-947-6647
Practice Fax: 405-948-6647

1174843296 — TODD MOLLET MD
Practice Location Address:

13100 N WESTERN AVE STE 301
OKLAHOMA CITY, OK
73114-1432

Practice Phone: 405-947-6647
Practice Fax: 405-948-6647

1861748048 — MS. DIANA DE LARA
Practice Location Address:

1432 NW 105TH ST
OKLAHOMA CITY, OK
73114-5116

Practice Phone: 405-413-9092
Practice Fax:

1962869313 — PAIGE ELIZABETH BEVERLY PA-C
Practice Location Address:

13100 N WESTERN AVE STE 301
OKLAHOMA CITY, OK
73114-1432

Practice Phone: 405-947-6647
Practice Fax:

1154865384 — BROOKELYN ANNETTE JOHNSON PA-C
Practice Location Address:

13100 N WESTERN AVE STE 301
OKLAHOMA CITY, OK
73114-1432

Practice Phone: 405-476-6479
Practice Fax: 405-948-6647

Directions to “VALIR OUTPATIENT CLINIC #11 LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.