Healthcare Provider Details

I. General information

NPI: 1013882083
Provider Name (Legal Business Name): OSU CENTER FOR HEALTH SCIENCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ROCKEFELLER DR
MUSKOGEE OK
74401-5075
US

IV. Provider business mailing address

700 N GREENWOOD AVE RM 372A
TULSA OK
74106-0702
US

V. Phone/Fax

Practice location:
  • Phone: 918-682-5501
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA KATHLEEN WINDLE
Title or Position: MANAGER
Credential:
Phone: 918-561-8306