| Stephen C Khoury, DO | |
|
1600 W University Blvd, Durant, OK 74701-3094 | |
| (580) 924-5500 | |
| (580) 924-1991 |
| Full Name | Stephen C Khoury |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1600 W University Blvd, Durant, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255318234 | NPI | - | NPPES |
| 100131660 | Other | OK | OHCA OKLAHOMA HEALTHCARE AUTHORITY |
| 28307 | Other | OK | OBNDD |
| 3769 | Other | OK | OKLAHOMA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M6232 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 3769 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Durant Family Medicine Clinic, Inc | 4082624242 | 3 |
| Entity Name | Durant Family Medicine Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596421 PECOS PAC ID: 4082624242 Enrollment ID: O20060502000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen C Khoury, DO 1600 W University Blvd, Durant, OK 74701-3094 Ph: (580) 924-5500 | Stephen C Khoury, DO 1600 W University Blvd, Durant, OK 74701-3094 Ph: (580) 924-5500 |
Dr. Brendan Dye, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 | |
Dr. Michael A Lee, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1708 Delivery Lane, Durant, OK 74701 Phone: 580-924-5622 Fax: 580-745-5060 | |
Reika Elizabeth Takita, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Bryan Dr Ste 201, Durant, OK 74701 Phone: 580-924-5500 | |
Melissa Ann Gastorf, D.O, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1004 N 19th Ave, Building 2, Durant, OK 74701 Phone: 580-931-9135 Fax: 580-931-9161 | |
Kalli Reimer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 | |
Dr. Quinton Tieu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Chukka Hina, Durant, OK 74701 Phone: 580-920-2100 | |
Caitlin A Spinney, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Bryan Dr Ste 201, Durant, OK 74701 Phone: 817-247-7556 |