| Organization Name: | PEACE OF MIND PEDIATRICS PLLC |
| NPI Number: | 1326425588 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NOOR JIHAN ABDUL-HAQQ (OWNER) |
| Mailing Address: | 5476 Main Street 104 Del City |
| State: | OK US |
| Postal Code: | 73115 |
| Phone Number: | 4056025166 |
| Fax Number: | 4056025461 |
| NPI Enumeration Date: | 04/27/2015 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 29433 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |