Organization
UROLOGY SURGEONS OF OKLAHOMA PC
Active
Other names
Urology Surgeons of Oklahoma PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEL S HASSOUN MD (PROVIDER)
(405) 749-9889
Entity
Organization
Contact information
Practice address
4200 W MEMORIAL RD STE 501, OKLAHOMA CITY, OK 73120-8359
(405) 749-9889
(405) 755-1166
Mailing address
4200 W MEMORIAL RD STE 501, OKLAHOMA CITY, OK 73120-8359
(405) 749-9889
(405) 755-1166
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200240460A
—
OK
01
—
DO9183
RAILROAD MEDICARE
OK
Enumeration date
01/12/2009
Last updated
08/07/2009
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