Organization Name: | GREGORY C KHOURY MD AMPC |
NPI Number: | 1023218468 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY C KHOURY (PRESIDENT / MEDICAL DIRECTOR) |
Mailing Address: | 3240 W Britton Rd Suite 102 Oklahoma City |
State: | OK US |
Postal Code: | 731202040 |
Phone Number: | 4059369410 |
Fax Number: | 4059369474 |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 07/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13298 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |