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

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932268612
- **Authorized official:** BRIAN L MADDY (CEO OU PHYSICIANS)
- **Authorized official phone:** (405) 271-3932

## Contact information

- **Practice address:** OU PHYSICIANS TULSA-COMMUNITY SPECIALIST, 1265 S. UTICA AVE, STE 102, TULSA, OK 74104
- **Practice address phone:** (918) 660-3632
- **Mailing address:** OU PHYSICIANS TULSA -CLINICAL SERVICES, 4502 E. 41ST ST, 2G08, TULSA, OK 74135
- **Mailing address phone:** (918) 660-3632
- **Mailing address fax:** (918) 660-3631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 09/11/2025
