Individual
MISS HIBA HAMMAD AL TAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD # 8400, OKLAHOMA CITY, OK 73104-5018
(405) 271-6173
(405) 271-5892
Mailing address
1533 SADIE CREEK RD, EDMOND, OK 73034-2411
(716) 342-5929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R0724
TX
207RP1001X
Pulmonary Disease Physician
Primary
32179
OK
Other
Enumeration date
05/01/2012
Last updated
05/20/2021
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