| Anibal Avila Md Professional Corporation Pc | |
|
1111 Sw 44th St Oklahoma City OK 73109-3601 | |
| (405) 634-4934 | |
| (405) 634-4938 |
| Full Name | Anibal Avila Md Professional Corporation Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 Sw 44th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Anibal Avila (OWNER) |
| Authorized Official Contact | 4056344934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anibal Avila Md Professional Corporation Pc 1111 Sw 44th St Oklahoma City OK 73109-3601 Ph: (405) 634-4934 | Anibal Avila Md Professional Corporation Pc 1111 Sw 44th St Oklahoma City OK 73109-3601 Ph: (405) 634-4934 |
| NPI Number | 1578855409 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Medicare PECOS PAC ID | 0143407205 |
|---|---|
| Medicare Enrollment ID | O20110527000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578855409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18774 (Oklahoma) | Primary |
| Provider Name | Anibal Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649213513 PECOS PAC ID: 2567413883 Enrollment ID: I20050203000725 |
| Provider Name | Carly Michele Prutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790235877 PECOS PAC ID: 0446522890 Enrollment ID: I20170818001455 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |