Organization
BRIGHT FUTURE PEDIATRICS
Active
Organization
BRIGHT FUTURE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DYER (CEO)
(918) 928-5437
Entity
Organization
Contact information
Practice address
817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
(918) 928-5437
(918) 615-9352
Mailing address
817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
(918) 928-5437
(918) 615-9352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
04/20/2020
Last updated
04/09/2024
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