Provider Demographics
NPI:1831137850
Name:BIRTH & BEYOND PEDIATRICS, P.C.
Entity Type:Organization
Organization Name:BIRTH & BEYOND PEDIATRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOAHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-493-1114
Mailing Address - Street 1:10011 S YALE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-6078
Mailing Address - Country:US
Mailing Address - Phone:918-493-1114
Mailing Address - Fax:918-392-0128
Practice Address - Street 1:10011 S YALE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-6078
Practice Address - Country:US
Practice Address - Phone:918-493-1114
Practice Address - Fax:918-392-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty