Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK MANQUEN
ActiveJACK MANQUEN is a Pediatrics healthcare provider located in TULSA, Oklahoma. NPI 1801424346 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · TULSA, OK
Registration Details
- NPI Number
- 1801424346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2020 (6.3976979943057 yrs)
- Last Updated
- Jul 1, 2025
- Licenses
-
7329 (OK)010269 (AZ)
Practice Information
- Address
-
1724 S HARVARD AVETULSA, OK, 741126826Browse OK providers · Browse ZIP 74112
- Phone
- 4057306990
- Fax
- 4057306992
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Sports Medicine (Pediatrics)
Other Pediatrics Providers in TULSA, OK
| Name | Credential | NPI |
|---|---|---|
| DR. NOEL E GATTENBY | D.O. | 1003813924 |
| DONNA CAROLE PUCKETT | MD | 1053310375 |
| DR. JERE DAVIES CRAVENS | M.D. | 1659372878 |
| KELLY RENEE HARMON | M.D. | 1780686709 |
| RUNAKO D WHITTAKER | MD | 1285636829 |
| DR. JERRY WAYNE FREED | D.O. | 1720071616 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.