Provider Demographics
NPI:1508144411
Name:THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
Entity Type:Organization
Organization Name:THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENETIC COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:AHLES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:405-271-8685
Mailing Address - Street 1:1200 N PHILLIPS AVE
Mailing Address - Street 2:SUITE 12109
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-4600
Mailing Address - Country:US
Mailing Address - Phone:405-271-8685
Mailing Address - Fax:405-271-8697
Practice Address - Street 1:1200 N PHILLIPS AVE
Practice Address - Street 2:SUITE 12109
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4600
Practice Address - Country:US
Practice Address - Phone:405-271-8685
Practice Address - Fax:405-271-8697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren