| Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa | |
|
Bcchs Sandy Park Public Housing 6112 W. 11th Street Tulsa OK 74127 | |
| (918) 660-3614 | |
| Not Available |
| Full Name | Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa |
|---|---|
| Speciality | Pediatrics |
| Location | Bcchs Sandy Park Public Housing, 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 Ou Physicians Tulsa-clinical Services 4502 E 41st Street, 2g08 Tulsa OK 74135-2553 Ph: (918) 660-3632 | Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa Bcchs Sandy Park Public Housing 6112 W. 11th Street Tulsa OK 74127 Ph: (918) 660-3614 |
| NPI Number | 1467496182 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467496182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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