Organization
PEACE OF MIND PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOOR JIHAN ABDUL-HAQQ MD (OWNER)
(405) 602-5166
Entity
Organization
Contact information
Practice address
5476 MAIN STREET, 104, DEL CITY, OK 73115
(405) 602-5166
(405) 602-5461
Mailing address
5476 MAIN STREET, SUITE 104, DEL CITY, OK 73115-5112
(405) 602-5166
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
29433
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455340A
—
OK
Enumeration date
04/27/2015
Last updated
10/02/2015
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