Board of Regents of the University of Oklahoma Ou Physicians Tulsa

Organization Active NPI Pediatric Endocrinology Physician · Tulsa, OK

NPI 1265616064 · NPPES record last updated Feb 1, 2008

Key facts

NPI
1265616064
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Endocrinology Physician 2080P0205X
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Practice address
4444 E 41St St 1St Floor Ste B
Ou Physicians Tulsa Pediatric Diabetes Center & Ha
Tulsa, OK 74135-2527
Phone
(918) 660-3632
Fax
(918) 660-3631
NPI assigned
Dec 28, 2007
Organization subpart
No

Authorized official

Name
Brian L Maddy
Title
Ceo Ou Physicians
Phone
(405) 271-3932

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Board of Regents of the (53 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2080P0205X Yes
Adult Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LA2200X

Addresses

Primary practice location

4444 E 41St St 1St Floor Ste B
Ou Physicians Tulsa Pediatric Diabetes Center & Ha
Tulsa, OK 74135-2527

Mailing address

4502 E 41St St 2G08
Ou Physicians Tulsa-Clinical Services
Tulsa, OK 74135-2527
Phone (918) 660-3632

Other providers in Tulsa, OK

All providers in Tulsa, OK · Pediatric Endocrinology Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.