Provider Demographics
NPI:1467039669
Name:PEACE OF MIND PEDIATRICS PLLC
Entity Type:Organization
Organization Name:PEACE OF MIND PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LEAD PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NOOR JIHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL-HAQQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-602-5166
Mailing Address - Street 1:5476 MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-5523
Mailing Address - Country:US
Mailing Address - Phone:405-602-5166
Mailing Address - Fax:
Practice Address - Street 1:7804 NW 89TH ST STE 2
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-3213
Practice Address - Country:US
Practice Address - Phone:405-602-5166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty