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Organization
UROLOGY SURGEONS OF OKLAHOMA PC
Active
Organization
UROLOGY SURGEONS OF OKLAHOMA PC
Active
Other names
Urology Surgeons of Oklahoma PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEL S HASSOUN MD (PROVIDER)
(405) 749-9889
Entity
Organization
Contact information
Practice address
4200 W MEMORIAL RD STE 501, OKLAHOMA CITY, OK 73120-8359
(405) 749-9889
(405) 755-1166
Mailing address
4200 W MEMORIAL RD STE 501, OKLAHOMA CITY, OK 73120-8359
(405) 749-9889
(405) 755-1166
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200240460A
—
OK
01
—
DO9183
RAILROAD MEDICARE
OK
Enumeration date
01/12/2009
Last updated
08/07/2009
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