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3240 W Britton Rd Suite 102 Oklahoma City OK 73120-2040 | |
(405) 936-9410 | |
(405) 936-9474 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3240 W Britton Rd, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Gregory C Khoury (PRESIDENT / MEDICAL DIRECTOR) |
Authorized Official Contact | 4059369410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3240 W Britton Rd Suite 102 Oklahoma City OK 73120-2040 Ph: (405) 936-9410 | 3240 W Britton Rd Suite 102 Oklahoma City OK 73120-2040 Ph: (405) 936-9410 |
NPI Number | 1023218468 |
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Provider Enumeration Date | 07/24/2007 |
Last Update Date | 07/24/2007 |
Identifier | Type | State | Issuer |
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1023218468 | NPI | - | NPPES |
B89239 | Other | LA | UPIN - ORIGINALLY ISSUED |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 13298 (Oklahoma) | Primary |
208D00000X | General Practice | 13298 (Oklahoma) | Secondary |
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