| NPI | 1356941306 |
|---|---|
| Other Name | HEARTLAND @ PANDA PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JULIE BODEN-SCHMIDT CEO 405-635-5694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-01-19 |