Board of Regents of the University of Oklahoma Ou Physicians Tulsa
Organization Active NPI Psychiatry Physician · Tulsa, OK
NPI 1053403501 · NPPES record last updated Jan 2, 2008
Key facts
- NPI
- 1053403501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
- Practice address
- 4444 E. 41St St, 3Rd Floor, Ste C
Ou Physicians Tulsa Psychiatry
Tulsa, OK 74125-2527 - Phone
- (918) 660-3622
- Fax
- (918) 660-3611
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian L Maddy
- Title
- Ceo Ou Physicians
- Phone
- (405) 271-3932
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Board of Regents of the
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes | ||
| Addiction Psychiatry Physician |
2084P0802X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X |
Addresses
Primary practice location
4444 E. 41St St, 3Rd Floor, Ste C
Ou Physicians Tulsa Psychiatry
Tulsa, OK 74125-2527
Mailing address
Ou Physicians Tulsa-Clinical Service
4502 E. 41St Street, 2G09
Tulsa, OK 74135-2553
Phone (918) 660-3632
Other providers in Tulsa, OK
- Tiffany Paige Blystone
- Board Fo Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University
- Board of Regents of the University of Oklahoma
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
- Board of Regents of the University of Oklahoma Ou Physicians Tulsa
All providers in Tulsa, OK · Psychiatry Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.