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Revan Health LLC

Family Medicine Physician in Warr Acres, OK · enumerated 2020 · authorized official Justin Evans, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114540689

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Registry record

Entity type Organization (Type 2)
Legal business name Revan Health LLC
Practice address 5601 Nw 72nd St Ste 142, Warr Acres, OK, 73132
Phone (405) 896-7975
Fax (866) 473-0490
Enumeration date May 19, 2020
Last updated in NPPES Feb 3, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Justin Evans
Title Ceo
Phone (405) 896-7975

Other identifiers

Identifier Type State Issuer
200917850A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-02-03. Verify at npiregistry.cms.hhs.gov.
Where is Revan Health LLC located?
The practice location on file with NPPES is in Warr Acres, OK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-03.