National Provider Identifier Database

SOUTH POINTE PEDIATRICS PLLC
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

SOUTH POINTE PEDIATRICS, PLLC
1615 S EUCALYPTUS AVE
SUITE 210
BROKEN ARROW, OK74012-6159
Phone: 918-254-6822
Fax: 918-254-6823
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for SOUTH POINTE PEDIATRICS, PLLC

NPI Number 1235399122
Legal business name
LBN
SOUTH POINTE PEDIATRICS, PLLC
Authorized official JULIE SULLIVAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/13/2008
Last updated 01/10/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 23824

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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