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

Premier Pediatric and Adolescent Care of Bixby

Organization Pediatrics Physician · NPI 1326674177

Premier Pediatric and Adolescent Care of Bixby provides Pediatrics Physician services in Bixby, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

7814 E 121st St
Bixby, OK 74008
Phone: (918) 943-5777
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1326674177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Mundy — Owner · (918) 943-5777
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing address5913 E 108th St, Tulsa, OK 74137-7057

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