Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Childrens Clinic of Owasso

Organization Pediatrics Physician · NPI 1417166802

Childrens Clinic of Owasso provides Pediatrics Physician services in Owasso, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

8439 N 117th East Ave
Owasso, OK 74055-2142
Phone: (918) 272-8989
Fax: (918) 272-4185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 3442 (OK)

Record details

NPI number1417166802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Boyd — Owner · (918) 272-8989
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8439 N 117th East Ave, Owasso, OK 74055-2142

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