Board of Regents of the Univ of Oklahoma-Ou Physicians Latino Clinic

NPI #1497840904 in Okc, Oklahoma

Provider Information

NPI Number: 1497840904
Entity Type: Organization
Organization Name: Board of Regents of the Univ of Oklahoma-Ou Physicians Latino Clinic
Primary Specialty: Clinic/Center
Enumeration Date: Oct 3, 2006
Last Updated: May 12, 2010

Practice Location

Address: 420 SW 10
City: Okc
State: Oklahoma
ZIP Code: 73160
Phone: (405) 232-4160

Authorized Official

Name: BRIAN MADDY
Title: CHIEF EXECUTIVE OFFICER
Phone: (405) 271-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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