Individual
MRS. INAS Z. YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
921 N.E. 23RD ST., OKC, OK 73105
(405) 239-7141
Mailing address
921 N.E. 23RD ST., OKC, OK 73105
(405) 239-7141
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
23874
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23874
OK
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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