# TULSA PEDIATRIC GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891826368
- **Authorized official:** KRISTIN M STEVENS M.D. (OWNER)
- **Authorized official phone:** (918) 481-4750

## Contact information

- **Practice address:** 6465 S YALE AVE STE 715, TULSA, OK 74136-7809
- **Practice address phone:** (918) 481-4750
- **Practice address fax:** (918) 481-4755
- **Mailing address:** 6465 S YALE AVE STE 715, TULSA, OK 74136-7809
- **Mailing address phone:** (918) 481-4750
- **Mailing address fax:** (918) 481-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 9951 | OK | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 01/12/2024