Provider Demographics
NPI:1073377180
Name:OKLAHOMA ORTHOPEADIC INSTITUTE
Entity Type:Organization
Organization Name:OKLAHOMA ORTHOPEADIC INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:501-230-8161
Mailing Address - Street 1:12014 S KINGSTON PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2115
Mailing Address - Country:US
Mailing Address - Phone:501-230-8161
Mailing Address - Fax:
Practice Address - Street 1:12014 S KINGSTON PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2115
Practice Address - Country:US
Practice Address - Phone:501-230-8161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty