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

Park Place Medical

Organization Pediatrics Physician · NPI 1114334885

Park Place Medical is a Pediatrics Physician in Mustang, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014

Practice location Address checks out

500 Park Pl
Mustang, OK 73064-3104
Phone: (406) 376-5439
Fax: (405) 376-6459
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 15742 (OK)

Record details

NPI number1114334885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Cosby — Owner · (405) 376-5439
NPI enumeratedJuly 15, 2014
Last updated in NPPESJuly 15, 2014
Mailing address500 Park Pl, Mustang, OK 73064-3104

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