Provider Demographics
NPI:1932252491
Name:UNIV OF OKLAHOMA HEALTH SCIENCES CENTER
Entity Type:Organization
Organization Name:UNIV OF OKLAHOMA HEALTH SCIENCES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEONATAL-PERINATAL MEDICINE FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:PARKER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-706-3177
Mailing Address - Street 1:706 W 40TH ST
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-2889
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 EVERETT DRIVE
Practice Address - Street 2:7TH FLOOR NORTH PAVILLION
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104
Practice Address - Country:US
Practice Address - Phone:405-271-5215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4227282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren