Organization
KIDS PEDIATRIC CARE LLC
Active
Organization
KIDS PEDIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP ANDREW PFANSTIEL (MANAGING MEMBER)
(682) 225-1497
Entity
Organization
Contact information
Practice address
7711 E 111TH ST STE 111, TULSA, OK 74133-2563
(918) 394-5437
(918) 394-5400
Mailing address
7711 E 111TH ST STE 111, TULSA, OK 74133-2563
(682) 225-1497
(918) 394-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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