Organization
BIXBY PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDHI KOUL MD (DOCTOR)
(918) 439-6461
Entity
Organization
Contact information
Practice address
11063D SOUTH MEMORIAL DR., 422, TULSA, OK 74133
(918) 439-6461
Mailing address
11063D SOUTH MEMORIAL DR., 422, TULSA, OK 74133
(918) 439-6461
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26393
OK
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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