Organization
HUSSAINS FAMILY PRACTICE RHC
Active
Organization
HUSSAINS FAMILY PRACTICE RHC
Active
Other names
Hussains Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMER HUSSAIN MD (OWNER)
(918) 465-5727
Entity
Organization
Contact information
Practice address
139 E MAIN ST, WILBURTON, OK 74578-4229
(918) 465-5727
(918) 465-3311
Mailing address
139 E MAIN ST, WILBURTON, OK 74578-4229
(918) 465-5727
(918) 465-3311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
89829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124093414
AHMER HUSSAIN M.D. NPI
OK
01
—
1407971492
NPI
OK
01
—
SB1453
MEDICARE B
OK
Enumeration date
03/20/2007
Last updated
05/05/2015
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