# UROLOGY SURGEONS OF OKLAHOMA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urology Surgeons of Oklahoma PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902043086
- **Authorized official:** DR. BASEL S HASSOUN MD (PROVIDER)
- **Authorized official phone:** (405) 749-9889

## Contact information

- **Practice address:** 4200 W MEMORIAL RD STE 501, OKLAHOMA CITY, OK 73120-8359
- **Practice address phone:** (405) 749-9889
- **Practice address fax:** (405) 755-1166
- **Mailing address:** 4200 W MEMORIAL RD STE 501, OKLAHOMA CITY, OK 73120-8359
- **Mailing address phone:** (405) 749-9889
- **Mailing address fax:** (405) 755-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 08/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200240460A | — | OK |
| 01 | — | DO9183 | RAILROAD MEDICARE | OK |