Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization
Contact information
Practice address
4444 E. 41ST ST, 3RD FLOOR, STE C, OU PHYSICIANS TULSA PSYCHIATRY, TULSA, OK 74125-2527
(918) 660-3622
(918) 660-3611
Mailing address
OU PHYSICIANS TULSA-CLINICAL SERVICE, 4502 E. 41ST STREET, 2G09, TULSA, OK 74135-2553
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/29/2006
Last updated
01/02/2008
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