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TRIAD PEDIATRIC THERAPY LLC NPI 1720745755


NPI Information

NPI: 1720745755
Provider Name: TRIAD PEDIATRIC THERAPY, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
6846 S CANTON AVE STE 120
TULSA, OK
ZIP 74136
Phone: (918) 232-3064
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TRIAD PEDIATRIC THERAPY, LLC is a pediatrics in Tulsa, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TRIAD PEDIATRIC THERAPY, LLC NPI is 1720745755. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6846 S CANTON AVE STE 120
TULSA, OK
ZIP 74136-412
Phone: (918) 232-3064

The provider's authorized official is Eddie Mccorkle .
The authorized official title is Ceo and has the following contact phone number (918) 232-3064.

The enumeration date for this NPI number is 11/24/2021 and was last updated on 11/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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