Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Board of Regents of the University of Oklahoma Ou Physicians Tulsa

Organization Family Medicine Physician · NPI 1184872004

Board of Regents of the University of Oklahoma Ou Physicians Tulsa provides Family Medicine Physician services in Tulsa, Oklahoma. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

619 S Quincy Ave Ouptch-Laura Dester Shelter
Tulsa, OK 74120 Not confirmed with CMS for 18 years — call before visiting
Phone: (918) 660-3632
Fax: (918) 660-3631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1184872004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Maddy — Ceo Ou Physicians · (405) 271-3932
NPI enumeratedSeptember 4, 2008
Last updated in NPPESSeptember 4, 2008
Mailing address4502 E 41st Street, 2g08, Ou Physicians Tulsa-Clinical Services, Tulsa, OK 74135-2529

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