Ou Physicians Tulsa Wayman Tisdale Clinic
LBN: Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
Ou Physicians Tulsa Wayman Tisdale Clinic is an health care organization with primary practice located at 591 E 36Th St N , Tulsa OK 74106-1812. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa can be contacted via phone (918) 619-8700, or through Joiner, Jonathan via phone (918) 660-3081.
Contact Information
Primary practice address
591 E 36Th St N
Tulsa OK 74106-1812
Phone: (918) 619-8700
Fax: (918) 634-7884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X |
Profile Details
| NPI number | 1194844936 |
|---|---|
| LBN Legal business name | Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa |
| DBA Doing business as | Ou Physicians Tulsa Wayman Tisdale Clinic |
| Authorized official | Joiner, Jonathan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 28th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194844936 | NPPES |
| Oklahoma | MEDICAID | 100745000U |
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