Healthcare Provider Details

I. General information

NPI: 1710170519
Provider Name (Legal Business Name): ALL IS WELL PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13321 N MERIDIAN AVE STE 200
OKLAHOMA CITY OK
73120-8356
US

IV. Provider business mailing address

13321 N MERIDIAN AVE STE 200
OKLAHOMA CITY OK
73120-8356
US

V. Phone/Fax

Practice location:
  • Phone: 405-749-9200
  • Fax: 405-749-9210
Mailing address:
  • Phone: 405-749-9200
  • Fax: 405-749-9210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number16134
License Number StateOK

VIII. Authorized Official

Name: DR. GARLANDA L. PARKER
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 405-749-9200