Glow Pediatrics, Pllc

LBN: Glow Pediatrics, Pllc
Glow Pediatrics, Pllc is an health care organization with primary practice located at 1601 Sw Parkridge Blvd Ste 304 , Lawton OK 73505-7569. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Glow Pediatrics, Pllc can be contacted via phone (405) 871-5807, or through Eko, Hokehe via phone (405) 871-5807.

Contact Information

Primary practice address
1601 Sw Parkridge Blvd Ste 304 Lawton OK 73505-7569
Phone: (405) 871-5807
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eko, Hokehe Doctor of Medicine (MD)
Phone: (405) 871-5807

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1558069476
LBN Legal business name Glow Pediatrics, Pllc
DBA Doing business as
Authorized official Eko, Hokehe Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2023
Last updated Jan 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558069476 NPPES
Oklahoma MEDICAID 1811208945

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