| NPI | 1396933685 |
|---|---|
| Doing Business As | NORTHSIDE PEDIATRIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LISA MCANINCH Office Manager 405-755-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2013-06-07 |