| Ou Physicians Adolescent Medicine | |
|
1200 Children's Avenue Suite 7500 Okc OK 73104 | |
| (405) 271-2006 | |
| Not Available |
| Full Name | Ou Physicians Adolescent Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 1200 Children's Avenue, Okc, Oklahoma |
| Authorized Official Name and Position | Brian Maddy (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4052711515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ou Physicians Adolescent Medicine 1122 Ne 13 Ori236 Okc OK 73117 Ph: (405) 271-1515 | Ou Physicians Adolescent Medicine 1200 Children's Avenue Suite 7500 Okc OK 73104 Ph: (405) 271-2006 |
| NPI Number | 1013005388 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013005388 | NPI | - | NPPES |
| 200021910A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8125 S Walker, Okc, OK 73034 Phone: 405-632-6000 Fax: 405-635-8544 | |
Ou Physicians Latino Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Sw 10, Okc, OK 73160 Phone: 405-232-4160 | |
Ou Physicians Breast Oncology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St, Oupb5200, Okc, OK 73104 Phone: 405-271-7867 |