Individual
HAISAM AL-KHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2316 NW 23RD ST, OKLAHOMA CITY, OK 73107-2406
(405) 525-3330
(405) 525-3360
Mailing address
2316 NW 23RD ST, OKLAHOMA CITY, OK 73107-2406
(405) 525-3330
(405) 525-3360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18417
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223830
—
OK
Enumeration date
05/28/2006
Last updated
03/01/2013
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