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

Owasso Pediatric and Adolescent Medicine, PLC

Organization Pediatric Adolescent Medicine Physician · NPI 1982624292

Owasso Pediatric and Adolescent Medicine, PLC provides Pediatric Adolescent Medicine Physician services in Owasso, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

12455 E 100th St N Ste 280
Owasso, OK 74055-4600
Phone: (918) 274-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1982624292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Henley — Physician · (918) 274-9700
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12455 E 100th St N, Suite 280, Owasso, OK 74055-4600

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