Healthcare Provider Details

I. General information

NPI: 1831137850
Provider Name (Legal Business Name): BIRTH & BEYOND PEDIATRICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10011 S YALE AVE SUITE 200
TULSA OK
74137-6078
US

IV. Provider business mailing address

10011 S YALE AVE SUITE 200
TULSA OK
74137-6078
US

V. Phone/Fax

Practice location:
  • Phone: 918-493-1114
  • Fax: 918-392-0128
Mailing address:
  • Phone: 918-493-1114
  • Fax: 918-392-0128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARY NOAHR
Title or Position: OFFICE MANAGER
Credential:
Phone: 918-493-1114