Provider Demographics
NPI:1538584867
Name:OU PHYSICIANS
Entity type:Organization
Organization Name:OU PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEUERBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-271-8001
Mailing Address - Street 1:800 NE 10TH ST
Mailing Address - Street 2:SUITE #5050
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5418
Mailing Address - Country:US
Mailing Address - Phone:405-271-8707
Mailing Address - Fax:405-271-2976
Practice Address - Street 1:800 NE 10TH ST
Practice Address - Street 2:SUITE #5050
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
Practice Address - Country:US
Practice Address - Phone:405-271-8707
Practice Address - Fax:405-271-2976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0093104363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty