Glow Pediatrics, PLLC
Pediatrics in Lawton, OK. Organization (NPI-2).
NPI number1558069476
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1558069476
- Entity type
- Organization (NPI-2)
- Legal business name
- Glow Pediatrics, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2023
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
1601 Sw Parkridge Blvd Ste 304Lawton, OK 73505-7569
Phone 405-871-5807
Mailing address
1601 Sw Parkridge Blvd Ste 304Lawton, OK 73505-7569
Phone 405-871-5807
Authorized official
Hokehe Eko
Ceo
4058715807
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- Hokehe Eko, M.D.NPI 1811208945
- Glow Pediatrics LLCNPI 1932983335
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All 17 Pediatrics Physician providers in Lawton · All 3,248 providers in Lawton
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