Healthcare Provider Details

I. General information

NPI: 1376906800
Provider Name (Legal Business Name): BILINGUAL PEDIATRIC THERAPIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 NW 23RD ST STE 2D
OKLAHOMA CITY OK
73107-2420
US

IV. Provider business mailing address

PO BOX 12058
OKLAHOMA CITY OK
73157-2058
US

V. Phone/Fax

Practice location:
  • Phone: 405-355-3239
  • Fax: 405-212-4270
Mailing address:
  • Phone: 405-355-3239
  • Fax: 405-212-4270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number4508
License Number StateOK

VIII. Authorized Official

Name: DOUGLAS EDWIN BROWN
Title or Position: CEO
Credential:
Phone: 601-624-1237