BIXBY PEDIATRICS PLLC NPI 1902177769

NPI Information

NPI: 1902177769
Provider Name: BIXBY PEDIATRICS PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D2036218

Address:
11063D SOUTH MEMORIAL DR.
422
TULSA, OK
ZIP 74133
Phone: (918) 439-6461
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BIXBY PEDIATRICS PLLC is a primary care clinic center in Tulsa, OK. BIXBY PEDIATRICS PLLC NPI is 1902177769. The provider is registered as an organization entity type.

The provider's business location address is:

11063D SOUTH MEMORIAL DR.
422
TULSA, OK
ZIP 74133
Phone: (918) 439-6461

The provider's authorized official is Nidhi Koul .
The authorized official title is Doctor and has the following contact phone number (918) 439-6461.

The CLIA number assigned to this NPI record is 37D2036218 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 1/25/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	26393	OKLAHOMA	Yes

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: 4/28/2024

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