| Psychiatry Of Tulsa, P.c. | |
|
6108 S Memorial Dr Tulsa OK 74133-1933 | |
| (918) 627-8858 | |
| (918) 627-4004 |
| Full Name | Psychiatry Of Tulsa, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6108 S Memorial Dr, Tulsa, Oklahoma |
| Authorized Official Name and Position | Hazem H. Sokkar (OWNER) |
| Authorized Official Contact | 9186278858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Of Tulsa, P.c. 4833 S Sheridan Rd Suite 408 Tulsa OK 74145-5750 Ph: (918) 627-8858 | Psychiatry Of Tulsa, P.c. 6108 S Memorial Dr Tulsa OK 74133-1933 Ph: (918) 627-8858 |
| NPI Number | 1164445490 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 2365335502 |
|---|---|
| Medicare Enrollment ID | O20040203000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164445490 | NPI | - | NPPES |
| 100219880 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | 20856 (Oklahoma) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hazem H Sokkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780659078 PECOS PAC ID: 5193618353 Enrollment ID: I20041110000756 |
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