Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Owasso Pediatric and Adolescent Medicine, PLC

Organization Pediatric Adolescent Medicine Physician · NPI 1982624292

Owasso Pediatric and Adolescent Medicine, PLC is a Pediatric Adolescent Medicine Physician 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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