Organization Name: | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
NPI Number: | 1518004829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN L MADDY (CEO OU PHYSICIANS) |
Mailing Address: | 12800 S Memorial Dr Ste D Bixby |
State: | OK US |
Postal Code: | 740082577 |
Phone Number: | 9183942767 |
Fax Number: | 9184817611 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |