Board of Regents of the University of Oklahoma Ou Physicians Tulsa
Organization Active NPI Family Medicine Physician · Tulsa, OK
NPI 1184872004 · NPPES record last updated Sep 4, 2008
Key facts
- NPI
- 1184872004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
- Practice address
- 619 S. Quincy Ave.
Ouptch-Laura Dester Shelter
Tulsa, OK 74120 - Phone
- (918) 660-3632
- Fax
- (918) 660-3631
- NPI assigned
- Sep 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Brian L Maddy
- Title
- Ceo Ou Physicians
- Phone
- (405) 271-3932
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Board of Regents of the
Locations
619 S Quincy Ave
Tulsa, OK 74120
Phone (918) 430-5616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
619 S. Quincy Ave.
Ouptch-Laura Dester Shelter
Tulsa, OK 74120
Mailing address
4502 E 41St Street, 2G08
Ou Physicians Tulsa-Clinical Services
Tulsa, OK 74135-2529
Phone (918) 660-3632
Other providers in Tulsa, OK
- 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
- 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 · Family Medicine 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 Sep 4, 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.