| The Peter C Khoury Memorial Psychiatric Clinic | |
|
3240 W Britton Rd Suite 102 Oklahoma City OK 73120-2040 | |
| (405) 936-9410 | |
| (405) 936-9474 |
| Full Name | The Peter C Khoury Memorial Psychiatric Clinic |
|---|---|
| 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 |
|---|---|
| The Peter C Khoury Memorial Psychiatric Clinic 3240 W Britton Rd Suite 102 Oklahoma City OK 73120-2040 Ph: (405) 936-9410 | The Peter C Khoury Memorial Psychiatric Clinic 3240 W Britton Rd Suite 102 Oklahoma City OK 73120-2040 Ph: (405) 936-9410 |
| NPI Number | 1023218468 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023218468 | NPI | - | NPPES |
| B89239 | Other | LA | UPIN - ORIGINALLY ISSUED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13298 (Oklahoma) | Primary |
| 208D00000X | General Practice | 13298 (Oklahoma) | Secondary |
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