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

Premiere Pediatrics PLLC

Organization Pediatrics Physician · NPI 1043354228

Premiere Pediatrics PLLC is a Pediatrics Physician in Norman, Oklahoma. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3261 24th Ave NW Ste 101
Norman, OK 73069-6666
Phone: (405) 364-6432
Fax: (405) 364-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3217 24th Avenue, Norm, OK 73069 — (405) 364-6432

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1043354228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Diaz — Officer · (405) 364-6432
NPI enumeratedFebruary 19, 2007
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address3261 24th Ave Nw Ste 101, Norman, OK 73069-6666

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