# BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
- **Other names:** OU Physicians Mid-Del Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346600715
- **Legal business name:** BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
- **Authorized official:** BRIAN L MADDY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (405) 271-3932

## Contact information

- **Practice address:** 1212 S DOUGLAS BLVD, SUITE B, MIDWEST CITY, OK 73130-5246
- **Practice address phone:** (405) 736-6811
- **Practice address fax:** (405) 736-6863
- **Mailing address:** 1212 S DOUGLAS BLVD, SUITE B, MIDWEST CITY, OK 73130-5246
- **Mailing address phone:** (405) 736-6811
- **Mailing address fax:** (405) 736-6863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/29/2016
- **Last updated:** 03/07/2016