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 Internal Medicine
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) 619-4101
(918) 619-4110
Mailing address
4502 E 41ST ST 2G08, OU PHYSICIANS TULSA CLINICAL SERVICES, TULSA, OK 74135-2553
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
06/14/2006
Last updated
08/09/2007
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