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

South Tulsa Pediatrics Pllj

Organization Pediatrics Physician · NPI 1215920293

South Tulsa Pediatrics Pllj is a Pediatrics Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.

Licensed in
OK
In the registry since
2005

Practice location Address checks out

7512 E 91st St
Tulsa, OK 74133-6050
Phone: (918) 728-2000
Fax: (917) 728-2000
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2732 (OK)

Record details

NPI number1215920293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Mayberry — Owner/Physician · (918) 728-2888
NPI enumeratedAugust 25, 2005
Last updated in NPPESAugust 22, 2020
Mailing address7512 E 91st St, Tulsa, OK 74133-6050

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