Ou Physicians Adolescent Medicine

LBN: Board Of Regents Of The Univ Of Oklahoma-Ou Physicians Adolescent Med
Ou Physicians Adolescent Medicine is an health care organization with primary practice located at 1200 Children'S Avenue Suite 7500, Okc OK 73104. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Board Of Regents Of The Univ Of Oklahoma-Ou Physicians Adolescent Med can be contacted via phone (405) 271-2006, or through Maddy, Brian via phone (405) 271-1515.

Contact Information

Primary practice address
1200 Children'S Avenue Suite 7500 Okc OK 73104
Phone: (405) 271-2006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maddy, Brian
Phone: (405) 271-1515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1013005388
LBN Legal business name Board Of Regents Of The Univ Of Oklahoma-Ou Physicians Adolescent Med
DBA Doing business as Ou Physicians Adolescent Medicine
Authorized official Maddy, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 6th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013005388 NPPES
Oklahoma MEDICAID 200021910A

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