| Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa | |
|
619 S. Quincy Ave. Ouptch-laura Dester Shelter Tulsa OK 74120 | |
| (918) 660-3632 | |
| (918) 660-3631 |
| Full Name | Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa |
|---|---|
| Speciality | Family Medicine |
| Location | 619 S. Quincy Ave., Tulsa, Oklahoma |
| Authorized Official Name and Position | Brian L Maddy (CEO OU PHYSICIANS) |
| Authorized Official Contact | 4052713932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa 4502 E 41st Street, 2g08 Ou Physicians Tulsa-clinical Services Tulsa OK 74135-2529 Ph: (918) 660-3632 | Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa 619 S. Quincy Ave. Ouptch-laura Dester Shelter Tulsa OK 74120 Ph: (918) 660-3632 |
| NPI Number | 1184872004 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184872004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814 | |
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Sunshine Care Partners Of Dfw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600 | |
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