ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC. NPI 1144363094

NPI Information

  • NPI: 1144363094
  • Provider Name: ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 37D0685254
  • Address: 3300 S ASPEN AVE
    SUITE B
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 455-4140

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NPI Details

ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC. is a primary care clinic center in Broken Arrow, OK. ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC. NPI is 1144363094. The provider is registered as an organization entity type.

The provider's business location address is:

3300 S ASPEN AVE
SUITE B
BROKEN ARROW, OK
ZIP 74012-501
Phone: (918) 455-4140

The provider's authorized official is Suresh Bharani .
The authorized official title is President and has the following contact phone number (918) 455-4140.

The CLIA number assigned to this NPI record is 37D0685254 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care12973OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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