PEACE OF MIND PEDIATRICS PLLC; NPI #1326425588

Contact Information

PEACE OF MIND PEDIATRICS PLLC

5476 MAIN STREET
104
DEL CITY, OK 73115

Phone: 405-602-5166
Fax: 405-602-5461
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for PEACE OF MIND PEDIATRICS PLLC

NPI Number 1326425588

LBN Legal business name PEACE OF MIND PEDIATRICS PLLC

Authorized official NOOR JIHAN ABDUL-HAQQ - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/27/2015

Last updated 10/02/2015 - About 11 years ago

Identifiers

OK	License #	29433
OK	Medicaid	200455340A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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