Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Other names
OU Physicians Tulsa Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Authorized official
BRIAN L MADDY (CEO OU PHYSICIANS)
(405) 271-3932
Entity
Organization
Contact information
Practice address
4444 E 41ST STREET 3RD FLOOR STE B, SCHUSTERMAN CENTER CLINIC, TULSA, OK 74135-2527
(918) 619-4300
(918) 619-4322
Mailing address
4502 E 41ST ST 2G08, OU PHYSICIANS TULSA CLINICAL AFFAIRS, TULSA, OK 74135-2553
(918) 660-3632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
Other
Enumeration date
06/15/2006
Last updated
08/09/2007
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