| NPI | 1013721034 |
|---|---|
| Doing Business As | PEDIATRIC PRACTITIONERS OF OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GARDNER Owner 817-713-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |