Healthcare Provider Details

I. General information

NPI: 1649194226
Provider Name (Legal Business Name): OSU CENTER FOR HEALTH SCIENCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 S YALE AVE STE 401
TULSA OK
74136-7806
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 918-747-5200
  • Fax: 918-858-0290
Mailing address:
  • Phone: 918-561-8306
  • Fax: 918-561-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

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