Individual
BASEL S HASSOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 W MEMORIAL RD, SUITE 501, OKLAHOMA CITY, OK 73120-8359
(405) 749-9889
(405) 755-1166
Mailing address
4200 W MEMORIAL RD, SUITE 501, OKLAHOMA CITY, OK 73120-8359
(405) 749-9889
(405) 755-1166
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18282
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100042740A
—
OK
Enumeration date
08/25/2006
Last updated
09/04/2009
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