Organization
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS LATINO CLINIC
Active
Organization
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS LATINO CLINIC
Active
Other names
OU Physicians Latino Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MADDY (CHIEF EXECUTIVE OFFICER)
(405) 271-1515
Entity
Organization
Contact information
Practice address
420 SW 10, OKC, OK 73160
(405) 232-4160
Mailing address
1122 NE 13, ORI236, OKC, OK 73117
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744720X
—
OK
05
—
200284890A
—
OK
Enumeration date
10/03/2006
Last updated
05/12/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up