National Provider Identifier Database

OKLAHOMA STATE UNIVERISTY MEDICAL CENTER
Children


Contact Information

OKLAHOMA STATE UNIVERISTY MEDICAL CENTER
717 S HOUSTON AVE
SUITE 400
TULSA, OK74127-9023
Phone: 918-382-4600
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for OKLAHOMA STATE UNIVERISTY MEDICAL CENTER

NPI Number 1750828893
Legal business name
LBN
OKLAHOMA STATE UNIVERISTY MEDICAL CENTER
Authorized official SHAWNA DUNCAN - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/27/2017
Last updated 01/27/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 5986
  • OK Medicaid: 200652820

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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