MEDICARE: H2 HEALTH OKLAHOMA OUTPATIENT CLINICS 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	225X00000X	Occupational Therapist
2	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	:	1982683306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H2 HEALTH OKLAHOMA OUTPATIENT CLINICS LLC

Provider Business Mailing Address
First Line	:	PO BOX 202610
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-2610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 SW 89TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9101
Country	:	US
Telephone Number	:	405-616-0113
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	AMANDA STREETER
Credential	:
Telephone Number	:	800-699-9395

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	04/15/2026

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