Board of Regents of the University of Oklahoma Ou Physicians Tulsa
Organization Active NPI Nephrology Physician · Owasso, OK
NPI 1649694159 · NPPES record last updated Feb 5, 2014
Key facts
- NPI
- 1649694159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
- Practice address
- 10205 N 110TH East Ave
Owasso, OK 74055-4374 - Phone
- (918) 619-4888
- Fax
- (918) 619-4591
- NPI assigned
- Feb 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Jonathan Joiner
- Title
- Chief Financial Officer
- Phone
- (918) 660-3000
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Board of Regents of the
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
10205 N 110TH East Ave
Owasso, OK 74055-4374
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 660-3632
Other names
- OU Physicians Nephrology Owasso
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2014. 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.