Individual
STEPHEN C KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 W UNIVERSITY BLVD, DURANT, OK 74701-3094
(580) 924-5500
(580) 924-1991
Mailing address
1600 W UNIVERSITY BLVD, DURANT, OK 74701-3094
(580) 924-5500
(580) 924-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3769
OK
207Q00000X
Family Medicine Physician
M6232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100131660
OHCA OKLAHOMA HEALTHCARE AUTHORITY
OK
01
—
28307
OBNDD
OK
01
—
3769
OKLAHOMA STATE LICENSE
OK
Enumeration date
12/29/2005
Last updated
03/07/2023
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