National Provider Identifier Database

JACK MANQUEN
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

JACK MANQUEN
1724 S HARVARD AVE
TULSA, OK74112-6826
Phone: 405-730-6990
Fax: 405-730-6992
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Sports Medicine 2080S0010X

* Indicates primary specialty

NPI Profile & details for JACK MANQUEN

NPI Number 1801424346
Credentials
Entity Individual
Enumeration date 03/30/2020
Last updated 07/01/2025 - About 11 months ago
Sole proprietor1 No
Identifiers
  • AZ License #: 010269
  • OK License #: 7329
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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