# OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oklahoma State University Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013158476
- **Authorized official:** MR. ROBERT POE (CHAIRMAN AND TRUSTEE)
- **Authorized official phone:** (918) 749-6873

## Contact information

- **Practice address:** 744 W 9TH ST, TULSA, OK 74127-9020
- **Practice address phone:** (918) 587-2561
- **Practice address fax:** (918) 599-1750
- **Mailing address:** 744 W 9TH ST, TULSA, OK 74127-9020
- **Mailing address phone:** (918) 587-2561
- **Mailing address fax:** (918) 599-1750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 03/16/2009