Healthcare Provider Details

I. General information

NPI: 1497729560
Provider Name (Legal Business Name): VASCULAR ENHANCEMENT CENTERS L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8523 E 11TH ST STE. A
TULSA OK
74112-7963
US

IV. Provider business mailing address

8523 E 11TH ST STE. A
TULSA OK
74112-7963
US

V. Phone/Fax

Practice location:
  • Phone: 918-836-9100
  • Fax: 918-836-9106
Mailing address:
  • Phone: 918-836-9100
  • Fax: 918-836-9106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY LEE ROCKEFELLER
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 918-836-9100